Individual ProviderAnvitha SoundararajanInternal MedicineAllopathic & Osteopathic PhysiciansPractice Address4801 Alberta Ave, El Paso, TX 79905-2707(915) 215-8000PECOS EnrollmentBased on the most recent information from CMS, provider Anvitha Soundararajan 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 2 days ago.Profile DetailsProvider ID1790473551Provider TypeIndividualFull NameSoundararajan, AnvithaGenderFemaleSole ProprietorNoEnumeration Date4/28/2023Last Updated11/5/2024Contact InformationPractice LocationPractice Address4801 Alberta Ave, El Paso, TX 79905-2707Phone(915) 215-8000FaxUnlisted FaxMailing LocationMailing Address4801 Alberta Ave, El Paso, TX 79905-2707PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode207R00000XPrimaryDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicenseBP10085787TexasCode390200000XDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseUnlisted Issuer