Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Archana Gundabolu

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1558892406

Archana Gundabolu is an Internal Medicine in Toledo, Ohio. Qualified in 2012, 14 years ago. Practices with Phoenixville Clinic Company LLC, a 137-clinician group and accepts Medicare assignment.

Years since qualifying
14
In the registry since
2017
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Practice location Address checks out

2213 Franklin Ave Mercy Family Care Ctr
Toledo, OH 43620-1402
Phone: (419) 251-2360
Fax: (419) 251-2393
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1558892406
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 22, 2017
Last updated in NPPESApril 6, 2017

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Phoenixville Clinic Company Llc — 137 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Toledo