Individual ProviderMonisha PandaStudent in an Organized Health Care Education/Training ProgramStudent, Health CarePractice Address12700 E 19th Ave.C281, Aurora, CO 80045(720) 722-0272PECOS EnrollmentBased on the most recent information from CMS, provider Monisha Panda 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 8:47 AM.Profile DetailsProvider ID1467870998Provider TypeIndividualFull NamePanda, MonishaTitleDr.CredentialMD, RDGenderFemaleSole ProprietorNoEnumeration Date4/2/2014Last Updated6/25/2023Contact InformationPractice LocationPractice Address12700 E 19th Ave.C281, Aurora, CO 80045Phone(720) 722-0272FaxUnlisted FaxMailing LocationMailing Address12700 E 19th Ave.C281, Aurora, CO 80045Phone(720) 722-0272FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode390200000XPrimaryDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseTL.0009882ColoradoCode390200000XDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseMT220509Pennsylvania