OrganizationAvanihealthclinic PcInternal MedicineAllopathic & Osteopathic PhysiciansPractice Address13000 N 103rd Ave Ste 96, Sun City, AZ 85351-3060(623) 974-8555PECOS EnrollmentBased on the most recent information from CMS, provider Avanihealthclinic Pc 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 5 days ago.Profile DetailsProvider ID1861737173Provider TypeOrganizationFull NameAvanihealthclinic PcSubpartNoEnumeration Date11/28/2012Last Updated11/28/2012Contact InformationPractice LocationPractice Address13000 N 103rd Ave Ste 96, Sun City, AZ 85351-3060Phone(623) 974-8555Fax(623) 583-6461Mailing LocationMailing Address13000 N 103rd Ave Ste 96, Sun City, AZ 85351-3060Phone(623) 974-8555Fax(623) 583-6461Authorized OfficialNameVasireddy, Rama (President)Phone(623) 974-8555Provider TaxonomiesCodeDescriptionLicenseCode207R00000XPrimaryDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicense28052Arizona