Individual ProviderPramil CheriyathInternal MedicineAllopathic & Osteopathic PhysiciansPractice Address810 Sir Thomas Ct, Harrisburg, PA 17109-4839(717) 614-4420PECOS EnrollmentBased on the most recent information from CMS, provider Pramil Cheriyath 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 15 days ago.Profile DetailsProvider ID1194832105Provider TypeIndividualFull NameCheriyath, PramilTitleDr.CredentialMDGenderMaleSole ProprietorNoEnumeration Date8/24/2006Last Updated3/29/2016Contact InformationPractice LocationPractice Address810 Sir Thomas Ct, Harrisburg, PA 17109-4839Phone(717) 614-4420Fax(717) 614-4421Mailing LocationMailing Address409 S 2nd St, Suite 2f, Harrisburg, PA 17104-1612PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode207R00000XPrimaryDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicenseMD429394PennsylvaniaProvider IdentifiersIDDescriptionIssuerIDP00378527DescriptionOtherIssuerRAILROAD MEDICAREPennsylvaniaID101692998DescriptionMedicaidIssuerUnlistedPennsylvaniaID190378DescriptionOtherIssuerUNISON/THREE RIVERSPennsylvaniaID500061561DescriptionOtherIssuerBLUE CROSSPennsylvaniaIDMD429394DescriptionOtherIssuerSTATE LICENSEPennsylvaniaID1883437DescriptionOtherIssuerHI9GHMARK BLUE SHIELDPennsylvania