Individual ProviderSimran Dharmesh ShahPhysician AssistantPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address42nd And Emile St, Omaha, NE 68198-0001(402) 559-4000(254) 652-8578PECOS EnrollmentBased on the most recent information from CMS, provider Simran Dharmesh Shah does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1508602798Provider TypeIndividualFull NameShah, Simran DharmeshGenderFemaleSole ProprietorYesEnumeration Date7/8/2024Last Updated7/8/2024Contact InformationPractice LocationPractice Address42nd And Emile St, Omaha, NE 68198-0001Phone(402) 559-4000FaxUnlisted FaxMailing LocationMailing Address42nd And Emile St, Omaha, NE 68198-0001Phone(254) 652-8578FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363A00000XPrimaryDescriptionPhysician AssistantPhysician Assistants & Advanced Practice Nursing ProvidersLicenseUnlisted Issuer