Individual ProviderHaru YamamotoInternal MedicineAllopathic & Osteopathic PhysiciansPractice Address3300 Gallows Rd, Falls Church, VA 22042-3307(703) 776-4001(571) 423-5699PECOS EnrollmentBased on the most recent information from CMS, provider Haru Yamamoto 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 today at 10:37 AM.Profile DetailsProvider ID1447696596Provider TypeIndividualFull NameYamamoto, HaruCredentialM.DGenderFemaleSole ProprietorNoEnumeration Date5/16/2013Last Updated8/8/2022Contact InformationPractice LocationPractice Address3300 Gallows Rd, Falls Church, VA 22042-3307Phone(703) 776-4001FaxUnlisted FaxMailing LocationMailing AddressPO Box 37174, Baltimore, MD 21297-3174Phone(571) 423-5699FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode207R00000XPrimaryDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicense0101266725VirginiaCode207R00000XDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicenseQ3131TexasCode208M00000XDescriptionHospitalistAllopathic & Osteopathic PhysiciansLicenseA148257California