Individual ProviderPragatheeshwar ThirunavukarasuSurgeryAllopathic & Osteopathic PhysiciansPractice Address1841 Quiet Cv, Fayetteville, NC 28304-3985(910) 323-2626(910) 615-6949PECOS EnrollmentBased on the most recent information from CMS, provider Pragatheeshwar Thirunavukarasu 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 yesterday at 11:47 AM.Profile DetailsProvider ID1588717227Provider TypeIndividualFull NameThirunavukarasu, PragatheeshwarTitleDr.CredentialMBBSGenderMaleSole ProprietorNoEnumeration Date1/18/2007Last Updated7/31/2024Contact InformationPractice LocationPractice Address1841 Quiet Cv, Fayetteville, NC 28304-3985Phone(910) 323-2626FaxUnlisted FaxMailing LocationMailing AddressPO Box 40908, Fayetteville, NC 28309-0908Phone(910) 615-6949Fax(910) 615-9761Provider TaxonomiesCodeDescriptionLicenseCode208600000XPrimaryDescriptionSurgeryAllopathic & Osteopathic PhysiciansLicense2020-00591North CarolinaCode208600000XDescriptionSurgeryAllopathic & Osteopathic PhysiciansLicense32436OklahomaCode208600000XDescriptionSurgeryAllopathic & Osteopathic PhysiciansLicense270472New YorkCode208600000XDescriptionSurgeryAllopathic & Osteopathic PhysiciansLicenseQ4861TexasCode2086X0206XDescriptionSurgeryAllopathic & Osteopathic PhysiciansLicenseQ4861Texas