Devasena Gnanashanmugam | Palo Alto, CA • PECOS Search

Devasena Gnanashanmugam

Pediatrics

Allopathic & Osteopathic Physicians

725 Welch Rd, Palo Alto, CA 94304-1601

PECOS Enrollment

Based on the most recent information from CMS, provider Devasena Gnanashanmugam does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 3 days ago.

Profile Details

Provider ID
1215049499
Provider Type
Individual
Full Name
Gnanashanmugam, Devasena
Credential
MD

Gender
Female
Sole Proprietor
No
Enumeration Date
8/31/2006
Last Updated
10/29/2007

Contact Information

Practice Location

725 Welch Rd, Palo Alto, CA 94304-1601

Unlisted Fax

Mailing Location

1093 Tanland Dr, Apt. 209, Palo Alto, CA 94303-3769

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 208000000X Primary	Description Pediatrics Allopathic & Osteopathic Physicians	License A83651 California