Organization
DR S GUNNALA MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SHAUN KANAKA MBA (BILLING MANAGER)
(480) 225-3065
Entity
Organization
Contact information
Practice address
19636 N 27TH AVE STE 207, PHOENIX, AZ 85027-4015
(623) 580-7245
(602) 864-1401
Mailing address
19636 N 27TH AVE STE 207, PHOENIX, AZ 85027-4015
(623) 580-7245
(602) 864-1401
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
27607
AZ
Other
Enumeration date
08/31/2010
Last updated
08/31/2010
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