Individual ProviderParth JadavInternal MedicineAllopathic & Osteopathic PhysiciansPractice Address200 E Chestnut St Ste 303, Louisville, KY 40202-1831(502) 629-5552PECOS EnrollmentBased on the most recent information from CMS, provider Parth Jadav 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 ID1710416151Provider TypeIndividualFull NameJadav, ParthGenderMaleSole ProprietorYesEnumeration Date6/8/2017Last Updated7/4/2021Contact InformationPractice LocationPractice Address200 E Chestnut St Ste 303, Louisville, KY 40202-1831Phone(502) 629-5552FaxUnlisted FaxMailing LocationMailing Address200 E Chestnut St Ste 303, Louisville, KY 40202-1831Phone(502) 629-5552FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode207R00000XPrimaryDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicense55570KentuckyCode390200000XDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseUnlisted Issuer