# EAST VALLEY FAMILY PRACTICE, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1548509490
- **Authorized official:** SUNITA GUPTA MD (PROPRIETOR/DIRECTOR)
- **Authorized official phone:** (480) 269-8436

## Contact information

- **Practice address:** 3885 S VAL VISTA DR, \#103, GILBERT, AZ 85297-7313
- **Practice address phone:** (480) 269-8436
- **Practice address fax:** (480) 269-8438
- **Mailing address:** 3885 S VAL VISTA DR, \#103, GILBERT, AZ 85297-7313
- **Mailing address phone:** (480) 269-8436
- **Mailing address fax:** (480) 269-8438

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 41594 | AZ | Yes |

## Other

- **Enumeration date:** 02/12/2013
- **Last updated:** 04/04/2013

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 453323 | — | AZ |