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Mansi Rajiv Kamdar

Internal Medicine

Allopathic & Osteopathic Physicians

4300 Londonderry Rd, Harrisburg, PA 17109-5317

PECOS Enrollment

This provider is enrolled in PECOS as MANSI KAMDAR.

Based on the most recent information from CMS, provider Mansi Rajiv Kamdar is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 15 days ago.

Profile Details

Provider ID
1336409101
Provider Type
Individual
Full Name
Kamdar, Mansi Rajiv
Title
Dr.
Credential
MD

Gender
Female
Sole Proprietor
No
Enumeration Date
5/25/2012
Last Updated
1/19/2021

Contact Information

Practice Location

4300 Londonderry Rd, Harrisburg, PA 17109-5317

(717) 231-8772

(717) 231-8435

Mailing Location

409 S 2nd St, Suite 2f, Harrisburg, PA 17104-1612

Unlisted Phone

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 207R00000X Primary	Description Internal Medicine Allopathic & Osteopathic Physicians	License MD452454 Pennsylvania

Provider Identifiers

ID	Description	Issuer
ID 102972842	Description Medicaid	Issuer Unlisted Pennsylvania

Mansi Rajiv Kamdar

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

Rastogi, Nita

Kreiser, Juanita Marie

Mann, Lorene Ruth

Pinnacle Health Medical Services

Williams, Jessica Ying

Schwartz, Robert Charles

Deramo, Brian Francis

Integrative Medicine Physician Center Pc

Khan, Rozi

David Bronstein Do Richard H Jeffries Do Professional Assoc