Look up the most recent NPI and PECOS records

Talentshia Vethanayagamony

Radiology

Allopathic & Osteopathic Physicians

PECOS Enrollment

Based on the most recent information from CMS, provider Talentshia Vethanayagamony is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 7 days ago.

Profile Details

Provider ID
1417230954
Provider Type
Individual
Full Name
Vethanayagamony, Talentshia
Title
Dr.
Credential
M.D.

Gender
Female
Sole Proprietor
Yes
Enumeration Date
9/21/2011
Last Updated
7/6/2012

Contact Information

Practice Location

2160 S 1st Ave, Maywood, IL 60153-3328

(708) 216-1084

Unlisted Fax

Mailing Location

218 S Cranberry St, Bolingbrook, IL 60490-2063

(630) 226-0825

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 2085R0202X Primary	Description Radiology Allopathic & Osteopathic Physicians	License 125059362 Illinois

Talentshia Vethanayagamony

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Lomasney, Laurie

Demos, Terrence

Thapa, Nihal

Lin, Yi E

Boychev, George

Cooper, Richard

Annes, John George

Freiburg, Luke M

Odegaard, Rita Vida

Nagamine, Anita Oza