Individual ProviderPritee TaxakRadiologyAllopathic & Osteopathic PhysiciansPractice AddressJohn Hopkins, Russell H Morgan, Departmentof Radiology, 601 N Caroline Street, Jhoc 3022, Baltomore, MD 21287(410) 955-9446PECOS EnrollmentBased on the most recent information from CMS, provider Pritee Taxak 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 5 days ago.Profile DetailsProvider ID1386176477Provider TypeIndividualFull NameTaxak, PriteeCredentialMDGenderFemaleSole ProprietorYesEnumeration Date3/29/2017Last Updated6/17/2022Contact InformationPractice LocationPractice AddressJohn Hopkins, Russell H Morgan, Departmentof Radiology, 601 N Caroline Street, Jhoc 3022, Baltomore, MD 21287Phone(410) 955-9446Fax(410) 578-0567Mailing LocationMailing AddressJohn Hopkins, Russell H Morgan, Departmentof Radiology, 601 N Caroline Street, Jhoc 3022, Baltomore, MD 21287Phone(410) 955-9446Fax(410) 578-0567Provider TaxonomiesCodeDescriptionLicenseCode2085R0202XPrimaryDescriptionRadiologyAllopathic & Osteopathic PhysiciansLicenseD93518Maryland