Organization
SIERRA GASTROENTEROLOGY, PLLC.
Active
Organization
SIERRA GASTROENTEROLOGY, PLLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VIJAYA D BOYELLA MD (PRESIDENT)
(520) 458-5890
Entity
Organization
Contact information
Practice address
4990 E MEDITERRANEAN DR, SUITE A, SIERRA VISTA, AZ 85635-2494
(520) 458-5890
(520) 458-4439
Mailing address
4990 E MEDITERRANEAN DR, SUITE A, SIERRA VISTA, AZ 85635-2494
(520) 458-5890
(520) 458-4439
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
168213
—
AZ
01
—
35086
35086
AZ
Enumeration date
04/23/2012
Last updated
04/23/2012
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up