Individual ProviderSajana PoudelInternal MedicineAllopathic & Osteopathic PhysiciansPractice Address1950 West Polk Street, 6th Floor #6142, Chicago, IL 60612(312) 864-7311PECOS EnrollmentBased on the most recent information from CMS, provider Sajana Poudel 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 2 days ago.Profile DetailsProvider ID1891434346Provider TypeIndividualFull NamePoudel, SajanaTitleMissCredentialMDGenderFemaleSole ProprietorNoEnumeration Date6/2/2022Last Updated2/17/2025Contact InformationPractice LocationPractice Address1950 West Polk Street, 6th Floor #6142, Chicago, IL 60612Phone(312) 864-7311Fax(312) 864-9725Mailing LocationMailing Address1950 W Polk St, Chicago, IL 60612PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode207R00000XPrimaryDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicense125079852IllinoisCode390200000XDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseUnlisted Issuer