Organization
CHANUKYA DASARI MD A PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DZUY LUU PA (OWNER)
(702) 723-6588
Entity
Organization
Contact information
Practice address
1840 N HACIENDA BLVD STE 12, LA PUENTE, CA 91744-1143
(702) 723-6588
Mailing address
1845 W 4400 S STE A1, ROY, UT 84067-3049
(702) 723-6588
(801) 665-0332
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Enumeration date
08/04/2025
Last updated
03/05/2026
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