Individual ProviderSirisha KundrapuStudent in an Organized Health Care Education/Training ProgramStudent, Health CarePractice Address2500 Metrohealth Dr, Cleveland, OH 44109-1900(216) 778-7800(216) 392-5511PECOS EnrollmentBased on the most recent information from CMS, provider Sirisha Kundrapu 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 2 days ago.Profile DetailsProvider ID1174900740Provider TypeIndividualFull NameKundrapu, SirishaGenderFemaleSole ProprietorNoEnumeration Date5/2/2015Last Updated12/27/2021Contact InformationPractice LocationPractice Address2500 Metrohealth Dr, Cleveland, OH 44109-1900Phone(216) 778-7800FaxUnlisted FaxMailing LocationMailing Address2500 Metrohealth Dr, Cleveland, OH 44109-1900Phone(216) 392-5511FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode390200000XPrimaryDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseUnlisted Issuer