Organization
GAJALAKSHMI VAKA, MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GAJALAKSHMI VAKA MD (PROVIDER)
(623) 583-2073
Entity
Organization
Contact information
Practice address
7183 W CAMINO DE ORO, PEORIA, AZ 85383-3264
(623) 583-2073
(623) 583-1099
Mailing address
PO BOX 1149, PEORIA, AZ 85380-1149
(623) 583-2073
(623) 583-1099
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
29540
AZ
Other
Enumeration date
06/18/2013
Last updated
06/18/2013
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