Individual ProviderAditya RajanStudent in an Organized Health Care Education/Training ProgramStudent, Health CarePractice Address11937 Us Highway 271, Tyler, TX 75708-3154(903) 877-7253PECOS EnrollmentBased on the most recent information from CMS, provider Aditya Rajan 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 ID1376165217Provider TypeIndividualFull NameRajan, AdityaCredentialMDGenderMaleSole ProprietorNoEnumeration Date5/14/2020Last Updated5/14/2020Contact InformationPractice LocationPractice Address11937 Us Highway 271, Tyler, TX 75708-3154Phone(903) 877-7253FaxUnlisted FaxMailing LocationMailing Address11937 Us Highway 271, Tyler, TX 75708-3154Phone(903) 877-7253FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode390200000XPrimaryDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseBP10071525TexasCode390200000XDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseUnlisted Issuer