Individual ProviderRajidivya ViswanathanStudent in an Organized Health Care Education/Training ProgramStudent, Health CarePractice Address1800 Orleans Street, 8th Floor, Room 8453, Baltimore, MD 21287(443) 927-3360PECOS EnrollmentBased on the most recent information from CMS, provider Rajidivya Viswanathan 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 2 days ago.Profile DetailsProvider ID1154883197Provider TypeIndividualFull NameViswanathan, RajidivyaTitleDr.CredentialMDGenderFemaleSole ProprietorNoEnumeration Date4/1/2019Last Updated6/23/2022Contact InformationPractice LocationPractice Address1800 Orleans Street, 8th Floor, Room 8453, Baltimore, MD 21287Phone(443) 927-3360FaxUnlisted FaxMailing LocationMailing Address1800 Orleans Street, 8th Floor, Room 8453, Baltimore, MD 21287PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode390200000XPrimaryDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseUnlisted Issuer