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Individual

DR. SANDHYA VENUGOPAL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
16601 N 40TH ST STE 229 (OLD 216), PHOENIX, AZ 85032-3354
(602) 667-4657
(888) 842-7006
Mailing address
3677 E ADOBE DR, PHOENIX, AZ 85050-8333
(480) 695-3064
(800) 854-6704

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
34956
AZ
207R00000X
Internal Medicine Physician
AZ34956
AZ
208M00000X
Hospitalist Physician
34956
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
074540
AZ
01
AZ0423230
BCBS
AZ
01
P00341403
RR MEDICARE
AZ
01
Z109127
MEDICARE-TYPE UNSPECIFIED
AZ
01
Z109128
MEDICARE-TYPE UNSPECIFIED
AZ
01
Z109129
MEDICARE-TYPE UNSPECIFIED
AZ
01
Z203329
MEDICARE PTAN- GROUP
AZ
01
Z204992
MEDICARE PTAN- INDIVIDUAL
AZ
Enumeration date
06/24/2006
Last updated
03/31/2026
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