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Benamanahalli K Rajegowda

Specialist

Other Service Providers

PECOS Enrollment

This provider is enrolled in PECOS as BENAMANAHALLI RAJEGOWDA.

Based on the most recent information from CMS, provider Benamanahalli K Rajegowda is legally eligible to order and refer claims for DME and PMD services only.

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

CMS last updated its PECOS records yesterday at 8:41 AM.

Profile Details

Provider ID
1295895852
Provider Type
Individual
Full Name
Rajegowda, Benamanahalli K
Title
Dr.
Credential
M.D

Gender
Male
Sole Proprietor
No
Enumeration Date
12/12/2006
Last Updated
7/8/2007

Contact Information

Practice Location

234 E 149th St, Bronx, NY 10451-5504

(718) 579-5360

(718) 579-4958

Mailing Location

237 S Greenbush Rd, Orangeburg, NY 10962-1324

(718) 579-5360

(718) 579-4958

Provider Taxonomies

Code	Description	License
Code 174400000X Primary	Description Specialist Other Service Providers	License 111700-1 New York

Benamanahalli K Rajegowda

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Beswick, Zakia

Hiteshew, Tara

Calabro, Christina Ann

Sylvain, Geralda

Hennessey, Karen Lynn

Malone, Michele

Guerrero, Marilyn Peregrino

Velasco, Alberto Nicandro

Morales-Martinez, Yvette

Amira, Sonia Margarita