Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Alexis V Gaddam, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1164275152

Dr. Alexis V Gaddam, MD is a Student in an Organized Health Care Education/Training Program in Phoenix, Arizona. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

2601 E Roosevelt St
Phoenix, AZ 85008-4973
Phone: (602) 344-5011
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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 number1164275152
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 9, 2024
Last updated in NPPESSeptember 26, 2025
Certification dateSeptember 26, 2025

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