OrganizationPunyakam Pllc(Avista Medical Center & Weight Loss)Family MedicineAllopathic & Osteopathic PhysiciansPractice Address690 E Warner Rd Ste 133, Gilbert, AZ 85296-3057(480) 892-1212PECOS EnrollmentBased on the most recent information from CMS, provider Punyakam Pllc does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 3 days ago.Profile DetailsProvider ID1073807202Provider TypeOrganizationFull NamePunyakam PllcOther NameAvista Medical Center & Weight LossSubpartNoEnumeration Date6/6/2011Last Updated2/8/2022Contact InformationPractice LocationPractice Address690 E Warner Rd Ste 133, Gilbert, AZ 85296-3057Phone(480) 892-1212Fax(480) 892-4941Mailing LocationMailing Address690 E Warner Rd Ste 133, Gilbert, AZ 85296-3057Phone(480) 892-1212Fax(480) 892-4941Authorized OfficialNameGammage, Chad (Ceo)Phone(480) 892-1212Provider TaxonomiesCodeDescriptionLicenseCode207Q00000XPrimaryDescriptionFamily MedicineAllopathic & Osteopathic PhysiciansLicense28418Arizona