Individual ProviderRanganayaky ShivakumarStudent in an Organized Health Care Education/Training ProgramStudent, Health CarePractice Address1555 Long Pond Rd, Rochester, NY 14626-4122(585) 723-7769PECOS EnrollmentBased on the most recent information from CMS, provider Ranganayaky Shivakumar does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 9:43 AM.Profile DetailsProvider ID1134260359Provider TypeIndividualFull NameShivakumar, RanganayakyCredentialMDGenderFemaleSole ProprietorNoEnumeration Date2/9/2007Last Updated7/8/2007Contact InformationPractice LocationPractice Address1555 Long Pond Rd, Rochester, NY 14626-4122Phone(585) 723-7769Fax(585) 723-7834Mailing LocationMailing Address1555 Long Pond Rd, Rochester, NY 14626-4122Phone(585) 723-7769Fax(585) 723-7834Provider TaxonomiesCodeDescriptionLicenseCode390200000XPrimaryDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseUnlisted Issuer