Individual ProviderAnuradha GorukantiPediatricsAllopathic & Osteopathic PhysiciansPractice Address725 Welch Rd, Palo Alto, CA 94304-1601(650) 497-8000(479) 629-5242PECOS EnrollmentBased on the most recent information from CMS, provider Anuradha Gorukanti 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 3 days ago.Profile DetailsProvider ID1326572058Provider TypeIndividualFull NameGorukanti, AnuradhaCredentialMDGenderFemaleSole ProprietorNoEnumeration Date4/19/2017Last Updated6/29/2020Contact InformationPractice LocationPractice Address725 Welch Rd, Palo Alto, CA 94304-1601Phone(650) 497-8000FaxUnlisted FaxMailing LocationMailing Address3849 Mcree Ave, Saint Louis, MO 63110-2619Phone(479) 629-5242FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode208000000XPrimaryDescriptionPediatricsAllopathic & Osteopathic PhysiciansLicenseA157301CaliforniaCode390200000XDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseUnlisted Issuer