Punyakam PLLC
Punyakam PLLC is a Family Medicine Physician in Gilbert, Arizona. Licensed in Arizona. Registered with an NPI since 2011.
- Licensed in
- AZ
- In the registry since
- 2011
What do these letters mean?
- PLLC — Professional limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
690 E Warner Rd Ste 133Gilbert, AZ 85296-3057
Phone: (480) 892-1212
Fax: (480) 892-4941
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Family Medicine Physician (primary) | Taxonomy 207Q00000X · Licence 28418 (AZ) |
|---|
Record details
| NPI number | 1073807202 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Chad Gammage — Ceo · (480) 892-1212 |
| Other names | Avista Medical Center & Weight Loss |
| NPI enumerated | June 6, 2011 |
| Last updated in NPPES | February 8, 2022 |
| Certification date | February 8, 2022 |
| Mailing address | 690 E Warner Rd Ste 133, Gilbert, AZ 85296-3057 |
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