Individual ProviderGautam SharmaStudent in an Organized Health Care Education/Training ProgramStudent, Health CarePractice Address12631 E17th Ave, Mail Stop F493, Ao1, Rm 1201e, Aurora, CO 80045(303) 724-7408PECOS EnrollmentBased on the most recent information from CMS, provider Gautam Sharma 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 ID1700380490Provider TypeIndividualFull NameSharma, GautamCredentialMBBSGenderMaleSole ProprietorNoEnumeration Date3/19/2018Last Updated7/8/2022Contact InformationPractice LocationPractice Address12631 E17th Ave, Mail Stop F493, Ao1, Rm 1201e, Aurora, CO 80045Phone(303) 724-7408FaxUnlisted FaxMailing LocationMailing Address12631 E17th Ave, Mail Stop F493, Ao1, Rm 1201e, Aurora, CO 80045Phone(303) 724-7408FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode390200000XPrimaryDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseUnlisted Issuer