Avanihealthclinic PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

28052 Issued in AZ

Legal business name

AVANIHEALTHCLINIC PC

Practice address

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

Phone

(623) 974-8555

Fax

(623) 583-6461

NPI assigned

Nov 28, 2012

Last updated

Nov 28, 2012By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Rama Vasireddy, M.D;

Title

President

Phone

(623) 974-8555

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1354060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1354060800000",
    "number": "1861737173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13000 N 103RD AVE STE 96",
            "city": "SUN CITY",
            "state": "AZ",
            "postal_code": "853513060",
            "telephone_number": "623-974-8555",
            "fax_number": "623-583-6461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13000 N 103RD AVE STE 96",
            "city": "SUN CITY",
            "state": "AZ",
            "postal_code": "853513060",
            "telephone_number": "623-974-8555",
            "fax_number": "623-583-6461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVANIHEALTHCLINIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-28",
        "last_updated": "2012-11-28",
        "status": "A",
        "authorized_official_last_name": "VASIREDDY",
        "authorized_official_first_name": "RAMA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "623-974-8555",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D;"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "28052",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.