Individual ProviderNourel Hoda TahonRadiologyAllopathic & Osteopathic PhysiciansPractice Address1 Hospital Dr # Dc069.10, Columbia, MO 65212-1000(573) 882-7901PECOS EnrollmentBased on the most recent information from CMS, provider Nourel Hoda Tahon is legally eligible to order and refer claims for DME and PMD services only.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1356051577Provider TypeIndividualFull NameTahon, Nourel HodaGenderFemaleSole ProprietorNoEnumeration Date11/29/2022Last Updated11/29/2022Contact InformationPractice LocationPractice Address1 Hospital Dr # Dc069.10, Columbia, MO 65212-1000Phone(573) 882-7901FaxUnlisted FaxMailing LocationMailing Address1 Hospital Dr # Dc069.10, Columbia, MO 65212-1000Phone(573) 882-7901FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode2085R0202XPrimaryDescriptionRadiologyAllopathic & Osteopathic PhysiciansLicense2022043390Missouri