Individual ProviderPurna ShahStudent in an Organized Health Care Education/Training ProgramStudent, Health CarePractice Address2500 Metrohealth Dr, Cleveland, OH 44109-1900(216) 778-4486PECOS EnrollmentBased on the most recent information from CMS, provider Purna Shah 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 ID1053722504Provider TypeIndividualFull NameShah, PurnaGenderMaleSole ProprietorNoEnumeration Date5/17/2014Last Updated5/17/2014Contact InformationPractice LocationPractice Address2500 Metrohealth Dr, Cleveland, OH 44109-1900Phone(216) 778-4486FaxUnlisted FaxMailing LocationMailing Address7246 N Via De La Montana, Scottsdale, AZ 85258-4024PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode390200000XPrimaryDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseUnlisted Issuer