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Venkata S Moningi

Internal Medicine

Allopathic & Osteopathic Physicians

11109 Parkview Plaza Dr, Fort Wayne, IN 46845-1701

PECOS Enrollment

This provider is enrolled in PECOS as VENKATA MONINGI.

Based on the most recent information from CMS, provider Venkata S Moningi 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 3 days ago.

Profile Details

Provider ID
1750617916
Provider Type
Individual
Full Name
Moningi, Venkata S
Title
Dr.
Credential
M.B.B.S

Gender
Male
Sole Proprietor
No
Enumeration Date
10/22/2009
Last Updated
11/16/2022

Contact Information

Practice Location

11109 Parkview Plaza Dr, Fort Wayne, IN 46845-1701

(260) 672-6620

(260) 672-6639

Mailing Location

11109 Parkview Plaza Dr # 117, Fort Wayne, IN 46845-1701

Unlisted Phone

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 207R00000X Primary	Description Internal Medicine Allopathic & Osteopathic Physicians	License 01071778A Indiana
Code 207R00000X	Description Internal Medicine Allopathic & Osteopathic Physicians	License 125057023 Illinois

Venkata S Moningi

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

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Description

License

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