Individual ProviderVamsi Srinivas SanagalaStudent in an Organized Health Care Education/Training ProgramStudent, Health CarePractice Address18701 N 67th Ave, Glendale, AZ 85308-7100(623) 561-0000(510) 366-8159PECOS EnrollmentBased on the most recent information from CMS, provider Vamsi Srinivas Sanagala 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 8 days ago.Profile DetailsProvider ID1336992882Provider TypeIndividualFull NameSanagala, Vamsi SrinivasCredentialDOGenderMaleSole ProprietorYesEnumeration Date4/5/2024Last Updated4/5/2024Contact InformationPractice LocationPractice Address18701 N 67th Ave, Glendale, AZ 85308-7100Phone(623) 561-0000FaxUnlisted FaxMailing LocationMailing Address4944 Northdale Dr, Fremont, CA 94536-7350Phone(510) 366-8159FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode390200000XPrimaryDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseUnlisted Issuer