Individual
PUNYA RAMAN GAMMAGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
690 E WARNER RD STE 133, GILBERT, AZ 85296-3057
(480) 892-1212
(480) 892-4941
Mailing address
690 E WARNER RD, STE 133, GILBERT, AZ 85296-3057
(480) 892-1212
(480) 892-4941
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
28418
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1215907209
BCBS
AZ
05
—
533100
—
AZ
01
—
P01009157
RAILROAD MEDICARE PTAN
—
01
—
Z116647
MEDICARE PTAN
—
Enumeration date
01/24/2006
Last updated
01/10/2023
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