Individual
MRS. SHAILAJA GUNNALA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
19636 N 27TH AVE, #207, PHOENIX, AZ 85027
(623) 580-7240
(623) 580-7244
Mailing address
19636 N 27TH AVE, #207, PHOENIX, AZ 85027
(623) 580-7240
(623) 580-7244
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
27607
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
477845
—
AZ
Enumeration date
11/13/2006
Last updated
04/09/2010
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