Individual ProviderKeren ShaharInternal MedicineAllopathic & Osteopathic PhysiciansPractice Address1400 NW 12th Ave, Miami, FL 33136-1003(305) 689-5511(650) 996-3590PECOS EnrollmentBased on the most recent information from CMS, provider Keren Shahar 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 12:57 PM.Profile DetailsProvider ID1003228651Provider TypeIndividualFull NameShahar, KerenCredentialM.D.GenderFemaleSole ProprietorNoEnumeration Date5/29/2014Last Updated12/21/2021Contact InformationPractice LocationPractice Address1400 NW 12th Ave, Miami, FL 33136-1003Phone(305) 689-5511FaxUnlisted FaxMailing LocationMailing Address1080 Brickell Ave Unit 3406, Miami, FL 33131-3992Phone(650) 996-3590FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode207R00000XPrimaryDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicenseME135020FloridaCode207R00000XDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicense4301105701Michigan