Individual ProviderRanjith KasanagottuPediatricsAllopathic & Osteopathic PhysiciansPractice Address1935 Medical District Dr, Dallas, TX 75235-7701(214) 456-5930(214) 456-5558PECOS EnrollmentBased on the most recent information from CMS, provider Ranjith Kasanagottu 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 10:37 AM.Profile DetailsProvider ID1851771976Provider TypeIndividualFull NameKasanagottu, RanjithCredentialMDGenderMaleSole ProprietorNoEnumeration Date6/3/2015Last Updated10/23/2024Contact InformationPractice LocationPractice Address1935 Medical District Dr, Dallas, TX 75235-7701Phone(214) 456-5930FaxUnlisted FaxMailing LocationMailing Address5323 Harry Hines Blvd Stop 7200, Dallas, TX 75390-7200Phone(214) 456-5558FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode208000000XPrimaryDescriptionPediatricsAllopathic & Osteopathic PhysiciansLicenseU6267TexasCode2080P0006XDescriptionPediatricsAllopathic & Osteopathic PhysiciansLicenseMD84563South Carolina