Individual ProviderNeharika NimmagaddaSurgeryAllopathic & Osteopathic PhysiciansPractice Address1750 W Harrison St, Chicago, IL 60612(312) 942-6510PECOS EnrollmentBased on the most recent information from CMS, provider Neharika Nimmagadda 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 ID1902300775Provider TypeIndividualFull NameNimmagadda, NeharikaGenderFemaleSole ProprietorNoEnumeration Date3/19/2018Last Updated5/30/2018Contact InformationPractice LocationPractice Address1750 W Harrison St, Chicago, IL 60612Phone(312) 942-6510FaxUnlisted FaxMailing LocationMailing Address1750 W Harrison St, Chicago, IL 60612-3825Phone(312) 942-6510FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode208600000XPrimaryDescriptionSurgeryAllopathic & Osteopathic PhysiciansLicense125072592IllinoisCode390200000XDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseUnlisted Issuer