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

Individual provider Family Medicine Physician · NPI 1962021378

Gavelyn Poonnopatam, DO is a Family Practice in Sierra Vista, Arizona. Graduated from Western Un of Hlth Sciences, Col of Podiatric Med in 2020, 6 years ago. Practices with Chiricahua Community Health Centers Inc, a 43-clinician group and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
6
Trained at
Western Un of Hlth Sciences, Col of Podiatric Med
Licensed in
AZ
In the registry since
2020
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

155 Calle Portal
Sierra Vista, AZ 85635-2900
Phone: (520) 364-1429
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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 010273 (AZ)

Record details

NPI number1962021378
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorNo
NPI enumeratedApril 15, 2020
Last updated in NPPESAugust 11, 2023
Certification dateAugust 11, 2023

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolWESTERN UN OF HLTH SCIENCES, COL OF PODIATRIC MED
Graduated 2020 (6 years in practice)
Group practice Chiricahua Community Health Centers Inc — 43 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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