Look up the most recent NPI and PECOS records

Sandhya Shri Kannayiram

Internal Medicine

Allopathic & Osteopathic Physicians

1901w Harrison Street, Chicago, IL 60612

PECOS Enrollment

Based on the most recent information from CMS, provider Sandhya Shri Kannayiram is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1144839739
Provider Type
Individual
Full Name
Kannayiram, Sandhya Shri
Title
Dr.
Credential
MD

Gender
Female
Sole Proprietor
No
Enumeration Date
7/29/2020
Last Updated
5/24/2021

Contact Information

Practice Location

1901w Harrison Street, Chicago, IL 60612

(312) 864-6000

Unlisted Fax

Mailing Location

1901w Harrison Street, Chicago, IL 60612

(312) 864-6000

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 207R00000X Primary	Description Internal Medicine Allopathic & Osteopathic Physicians	License 125076591 Illinois

Sandhya Shri Kannayiram

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

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