Benamanahalli K Rajegowda | Bronx, NY • PECOS Search

Benamanahalli K Rajegowda

Specialist

Other Service Providers

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

PECOS Enrollment

Based on the most recent information from CMS, provider Benamanahalli K Rajegowda 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 39 days ago.

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) 579-4958

Mailing Location

237 S Greenbush Rd, Orangeburg, NY 10962-1324

(718) 579-4958

Provider Taxonomies

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