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Simran Dharmesh Shah

Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers

PECOS Enrollment

This provider is enrolled in PECOS as SIMRAN SHAH.

Based on the most recent information from CMS, provider Simran Dharmesh Shah is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records yesterday at 12:59 PM.

Profile Details

Provider ID
1508602798
Provider Type
Individual
Full Name
Shah, Simran Dharmesh
Gender
Female

Sole Proprietor
Yes
Enumeration Date
7/8/2024
Last Updated
7/8/2024

Contact Information

Practice Location

42nd And Emile St, Omaha, NE 68198-0001

(402) 559-4000

Unlisted Fax

Mailing Location

42nd And Emile St, Omaha, NE 68198-0001

(254) 652-8578

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363A00000X Primary	Description Physician Assistant Physician Assistants & Advanced Practice Nursing Providers	License Unlisted Issuer

Simran Dharmesh Shah

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Clayton, Lindsay

Christensen, Abbey

Hanson, Kora

Pauley, Hannah

Yoshida, Noah K

Nguyen, Alyna

Mccoy, Brittany

Schoonover, Michaela M

Beckenhauer, John

Janiak, Kathryn E