Individual ProviderAnusha SundararajanInternal MedicineAllopathic & Osteopathic PhysiciansPractice Address20 York St., Department Of Nephrology, New Haven, CT 06510(203) 688-4242PECOS EnrollmentBased on the most recent information from CMS, provider Anusha Sundararajan 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 12:14 PM.Profile DetailsProvider ID1295198877Provider TypeIndividualFull NameSundararajan, AnushaTitleDr.CredentialM.D.GenderFemaleSole ProprietorNoEnumeration Date4/1/2016Last Updated2/25/2021Contact InformationPractice LocationPractice Address20 York St., Department Of Nephrology, New Haven, CT 06510Phone(203) 688-4242FaxUnlisted FaxMailing LocationMailing Address20 York St, New Haven, CT 06510-3220Phone(203) 688-4242FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode207R00000XPrimaryDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicense67347ConnecticutCode390200000XDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseUnlisted Issuer