Individual ProviderAnshul BhallaInternal MedicineAllopathic & Osteopathic PhysiciansPractice Address1265 Union Ave, 4 Shorb Tower, Memphis, TN 38104-3415(901) 478-9183PECOS EnrollmentBased on the most recent information from CMS, provider Anshul Bhalla 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 yesterday at 12:57 PM.Profile DetailsProvider ID1407298813Provider TypeIndividualFull NameBhalla, AnshulCredentialM.B.B.SGenderMaleSole ProprietorNoEnumeration Date7/26/2013Last Updated1/16/2024Contact InformationPractice LocationPractice Address1265 Union Ave, 4 Shorb Tower, Memphis, TN 38104-3415Phone(901) 478-9183Fax(901) 478-8957Mailing LocationMailing Address1211 Union Ave Ste 330, Memphis, TN 38104-6655PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode207RN0300XPrimaryDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicense59206TennesseeCode208M00000XDescriptionHospitalistAllopathic & Osteopathic PhysiciansLicense59206TennesseeCode207R00000XDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicense59206TennesseeProvider IdentifiersIDDescriptionIssuerID1407298813DescriptionOtherIssuerTUFTS MEDICAL CENTERMassachusetts