Individual ProviderRyan HaratianStudent in an Organized Health Care Education/Training ProgramStudent, Health CarePractice Address30 E Apple St Ste 2200, Dayton, OH 45409-2939(937) 208-2127PECOS EnrollmentBased on the most recent information from CMS, provider Ryan Haratian 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 1:10 PM.Profile DetailsProvider ID1073297172Provider TypeIndividualFull NameHaratian, RyanGenderMaleSole ProprietorYesEnumeration Date6/9/2023Last Updated6/9/2023Contact InformationPractice LocationPractice Address30 E Apple St Ste 2200, Dayton, OH 45409-2939Phone(937) 208-2127FaxUnlisted FaxMailing LocationMailing Address30 E Apple St Ste 2200, Dayton, OH 45409-2939Phone(937) 208-2127FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode390200000XPrimaryDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseUnlisted Issuer