Individual ProviderNeelesh DewanInternal MedicineAllopathic & Osteopathic PhysiciansPractice Address1611 NW 12th Ave, Miami, FL 33136-1005(305) 585-1111PECOS EnrollmentBased on the most recent information from CMS, provider Neelesh Dewan 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 ID1225617277Provider TypeIndividualFull NameDewan, NeeleshCredentialMDGenderMaleSole ProprietorNoEnumeration Date4/6/2021Last Updated9/10/2024Contact InformationPractice LocationPractice Address1611 NW 12th Ave, Miami, FL 33136-1005Phone(305) 585-1111FaxUnlisted FaxMailing LocationMailing Address1611 NW 12th Ave, Miami, FL 33136-1005PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode207R00000XPrimaryDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicenseME167581Florida