EAST VALLEY FAMILY PRACTICE LLC NPI 1548509490

NPI Information

EAST VALLEY FAMILY PRACTICE, LLC is a family medicine in Gilbert, AZ. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. EAST VALLEY FAMILY PRACTICE, LLC NPI is 1548509490. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3885 S VAL VISTA DR
#103
GILBERT, AZ
ZIP 85297-313
Phone: (480) 269-8436
Fax: (480) 269-8438

The provider's authorized official is Sunita Gupta .
The authorized official title is Proprietor/director and has the following contact phone number (480) 269-8436.

The CLIA number assigned to this NPI record is 03D2060165 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/12/2013 and was last updated on 4/4/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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