Individual ProviderAndrew TarimRadiologyAllopathic & Osteopathic PhysiciansPractice Address1 Hospital Dr, Columbia, MO 65212-1000(573) 882-7901PECOS EnrollmentBased on the most recent information from CMS, provider Andrew Tarim 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 2 days ago.Profile DetailsProvider ID1285364729Provider TypeIndividualFull NameTarim, AndrewCredentialMDGenderMaleSole ProprietorNoEnumeration Date6/16/2022Last Updated6/29/2023Contact InformationPractice LocationPractice Address1 Hospital Dr, Columbia, MO 65212-1000Phone(573) 882-7901FaxUnlisted FaxMailing LocationMailing Address1 Hospital Dr, Columbia, MO 65212-1000Phone(573) 882-7901FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode2085R0202XPrimaryDescriptionRadiologyAllopathic & Osteopathic PhysiciansLicense2023015986MissouriCode207R00000XDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicense2022021316Missouri