Individual ProviderHarita KatragaddaPediatricsAllopathic & Osteopathic PhysiciansPractice Address1935 Medical District Dr, Dallas, TX 75235-7701(214) 456-2735(214) 456-0488PECOS EnrollmentBased on the most recent information from CMS, provider Harita Katragadda is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records yesterday at 10:37 AM.Profile DetailsProvider ID1104271436Provider TypeIndividualFull NameKatragadda, HaritaCredentialMDGenderFemaleSole ProprietorNoEnumeration Date4/23/2016Last Updated9/15/2021Contact InformationPractice LocationPractice Address1935 Medical District Dr, Dallas, TX 75235-7701Phone(214) 456-2735FaxUnlisted FaxMailing LocationMailing AddressPO Box 845347, Dallas, TX 75284-5347Phone(214) 456-0488Fax(214) 456-4486Provider TaxonomiesCodeDescriptionLicenseCode208000000XPrimaryDescriptionPediatricsAllopathic & Osteopathic PhysiciansLicenseS2079TexasCode390200000XDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseUnlisted Issuer