Individual ProviderAbhishek GowdaStudent in an Organized Health Care Education/Training ProgramStudent, Health CarePractice Address945 N 12th St, Milwaukee, WI 53233-1305(414) 219-7635PECOS EnrollmentBased on the most recent information from CMS, provider Abhishek Gowda 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 ID1194579508Provider TypeIndividualFull NameGowda, AbhishekTitleMr.CredentialDOGenderMaleSole ProprietorNoEnumeration Date4/12/2024Last Updated4/12/2024Contact InformationPractice LocationPractice Address945 N 12th St, Milwaukee, WI 53233-1305Phone(414) 219-7635FaxUnlisted FaxMailing LocationMailing Address945 N 12th St, Milwaukee, WI 53233-1305PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode390200000XPrimaryDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseUnlisted Issuer