Individual ProviderBhuvaneswari GowthamanInternal MedicineAllopathic & Osteopathic PhysiciansPractice Address26357 Mcbean Parkway, Valencia, CA 91355(661) 222-2605(818) 837-5637PECOS EnrollmentBased on the most recent information from CMS, provider Bhuvaneswari Gowthaman 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 ID1467435107Provider TypeIndividualFull NameGowthaman, BhuvaneswariCredentialM.D.GenderFemaleSole ProprietorNoEnumeration Date11/28/2005Last Updated8/14/2012Contact InformationPractice LocationPractice Address26357 Mcbean Parkway, Valencia, CA 91355Phone(661) 222-2605Fax(661) 222-2660Mailing LocationMailing AddressPO Box 9602, Mission Hills, CA 91346-9602Phone(818) 837-5637Fax(818) 837-5589Provider TaxonomiesCodeDescriptionLicenseCode207R00000XPrimaryDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicenseA88829CaliforniaProvider IdentifiersIDDescriptionIssuerID00A888290DescriptionMedicaidIssuerUnlistedCalifornia