Individual ProviderAnup KatheriaPediatricsAllopathic & Osteopathic PhysiciansPractice Address3003 Health Center Dr., San Diego, CA 92123-2700(858) 939-4170(858) 384-7828PECOS EnrollmentBased on the most recent information from CMS, provider Anup Katheria 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 2:29 PM.Profile DetailsProvider ID1912022559Provider TypeIndividualFull NameKatheria, AnupCredentialM.D.GenderMaleSole ProprietorNoEnumeration Date3/20/2007Last Updated3/13/2014Contact InformationPractice LocationPractice Address3003 Health Center Dr., San Diego, CA 92123-2700Phone(858) 939-4170FaxUnlisted FaxMailing LocationMailing Address8555 Aero Drive, Suite 104, San Diego, CA 92123Phone(858) 384-7828Fax(858) 598-6344Provider TaxonomiesCodeDescriptionLicenseCode208000000XPrimaryDescriptionPediatricsAllopathic & Osteopathic PhysiciansLicenseA92926California