Individual ProviderDeepak TakhtaniRadiologyAllopathic & Osteopathic PhysiciansPractice Address600 N Wolfe St, Baltimore, MD 21287-0005(410) 955-5000(410) 995-5000PECOS EnrollmentBased on the most recent information from CMS, provider Deepak Takhtani is legally eligible to order and refer claims for DME and PMD services only.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 5 days ago.Profile DetailsProvider ID1023049764Provider TypeIndividualFull NameTakhtani, DeepakCredentialM.D.GenderMaleSole ProprietorNoEnumeration Date7/5/2006Last Updated3/17/2018Contact InformationPractice LocationPractice Address600 N Wolfe St, Baltimore, MD 21287-0005Phone(410) 955-5000FaxUnlisted FaxMailing LocationMailing Address600 N Wolfe St, Baltimore, MD 21287-0005Phone(410) 995-5000FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode2085R0202XPrimaryDescriptionRadiologyAllopathic & Osteopathic PhysiciansLicenseD55580Maryland