Organization · NPI-2

Avanihealthclinic PC

Internal Medicine · Sun City, AZ

NPI number1861737173
StatusActive
Last updated in NPPESNov 28, 2012

Details

NPI
1861737173
Entity type
Organization (NPI-2)
Legal business name
Avanihealthclinic PC
Organization subpart
No
Enumeration date
Nov 28, 2012
Last updated
Nov 28, 2012

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207R00000X Internal Medicine28052AZYes

Practice location

13000 N 103rd Ave Ste 96
Sun City, AZ 85351-3060

Phone 623-974-8555 · Fax 623-583-6461

Mailing address

13000 N 103rd Ave Ste 96
Sun City, AZ 85351-3060

Phone 623-974-8555 · Fax 623-583-6461

Authorized official

Rama Vasireddy
President
6239748555

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