Individual ProviderSoofia SalehiInternal MedicineAllopathic & Osteopathic PhysiciansPractice Address56 Franklin St, Waterbury, CT 06706-1253(203) 709-6000(509) 342-3758PECOS EnrollmentBased on the most recent information from CMS, provider Soofia Salehi 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 ID1508286352Provider TypeIndividualFull NameSalehi, SoofiaGenderFemaleSole ProprietorNoEnumeration Date4/20/2014Last Updated12/12/2017Contact InformationPractice LocationPractice Address56 Franklin St, Waterbury, CT 06706-1253Phone(203) 709-6000FaxUnlisted FaxMailing LocationMailing AddressPO Box 3649, Spokane, WA 99220-3649Phone(509) 342-3758Fax(509) 342-3761Provider TaxonomiesCodeDescriptionLicenseCode207R00000XPrimaryDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicenseMD60794448WashingtonCode390200000XDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseUnlisted Issuer