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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

GAVELYN POONNOPATAM, DO

Active

GAVELYN POONNOPATAM, DO is a Family Medicine healthcare provider located in SIERRA VISTA, Arizona. NPI 1962021378 is currently active in the NPPES registry. Verify at CMS.

Family Medicine · SIERRA VISTA, AZ

Registration Details

NPI Number
1962021378
Provider Type
Individual
Gender
Female
NPI Issued
Apr 15, 2020 (6.3180836932998 yrs)
Last Updated
Aug 11, 2023
License
010273 (AZ)

Practice Information

Address
155 CALLE PORTAL
SIERRA VISTA, AZ, 856352900
Browse AZ providers · Browse ZIP 85635
Phone
5203641429
Primary Specialty
Family Medicine
207Q00000X

Other Family Medicine Providers in SIERRA VISTA, AZ

Name Credential NPI
RALPH ESKER MAYBERRY M.D. 1063487486
MARC A KAPLAN DO 1619918836
DR. BLAIR T GOODSELL DO 1811917297
LOUISE NOSANCHUCK M.D. 1356356067
DR. JOANNE H. CARDINAL MD 1760557961
DR. JEFFREY VIRGIL WILDE M.D. 1073703310
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.