Individual ProviderShabari Karunakar KidiyoorPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address711 Academy Rd, Catonsville, MD 21228-1802(410) 788-3300PECOS EnrollmentBased on the most recent information from CMS, provider Shabari Karunakar Kidiyoor does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 6 days ago.Profile DetailsProvider ID1356822092Provider TypeIndividualFull NameKidiyoor, Shabari KarunakarGenderFemaleSole ProprietorYesEnumeration Date8/21/2018Last Updated8/21/2018Contact InformationPractice LocationPractice Address711 Academy Rd, Catonsville, MD 21228-1802Phone(410) 788-3300FaxUnlisted FaxMailing LocationMailing Address711 Academy Rd, Catonsville, MD 21228-1802PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode225100000XPrimaryDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicense26966Maryland