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03D2120906 CLIA NUMBER - UMA GUNNALA MD PC

Laboratory Demographics

CLIA Number: 03D2120906

Facility Name: UMA GUNNALA MD PC

Facility Address:
20045 N 19TH AVE, BLDG #11, STE 165
PHOENIX, AZ
ZIP 85027
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Facility Phone Number: 623 572-6791

Facility Type: Physician Office

Certificate Type: Waiver
NPI Number: 1881770220

Taxonomy: 207R00000X - Internal Medicine
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

CLIA Record

Field Name Field Value
CLIA Number 03D2120906
LAB Type Physician Office
Facility Name UMA GUNNALA MD PC
Street 20045 N 19TH AVE, BLDG #11, STE 165
City PHOENIX
State AZ
ZIP 85027
Phone 623 572-6791
CertificateType 4
CertificateEffectiveDate 10/26/2022
CertificateExpirationDate 10/25/2024
FacilityType Waiver

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This page was last updated on: 4/23/2024