Individual ProviderChand SheoranNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address29001 Harper Ave, Saint Clair Shores, MI 48081-2711(586) 778-0664PECOS EnrollmentBased on the most recent information from CMS, provider Chand Sheoran 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 ID1124646476Provider TypeIndividualFull NameSheoran, ChandGenderFemaleSole ProprietorNoEnumeration Date7/13/2020Last Updated7/28/2021Contact InformationPractice LocationPractice Address29001 Harper Ave, Saint Clair Shores, MI 48081-2711Phone(586) 778-0664FaxUnlisted FaxMailing LocationMailing Address29001 Harper Ave, Saint Clair Shores, MI 48081-2711Phone(586) 778-0664FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363LF0000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicense4704268213MichiganCode363LP2300XDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicenseF06201915Michigan