Healthcare Provider Details

I. General information

NPI: 1942449558
Provider Name (Legal Business Name): ANTHONY P GADDI M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/05/2009
Last Update Date: 09/30/2025
Certification Date: 09/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3420 S MERCY RD STE 103
GILBERT AZ
85297-0420
US

IV. Provider business mailing address

14155 N 83RD AVE STE 6
PEORIA AZ
85381-5639
US

V. Phone/Fax

Practice location:
  • Phone: 623-271-8666
  • Fax: 623-271-9229
Mailing address:
  • Phone: 480-626-2778
  • Fax: 623-271-9229

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VF0040X
TaxonomyUrogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
License Number49696
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: