Individual ProviderManish TalwarInternal MedicineAllopathic & Osteopathic PhysiciansPractice Address1265 Union Ave Ste 184, Memphis, TN 38104-3415(901) 516-9183PECOS EnrollmentBased on the most recent information from CMS, provider Manish Talwar 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 ID1457536559Provider TypeIndividualFull NameTalwar, ManishTitleDr.CredentialM.B.B.S.GenderMaleSole ProprietorNoEnumeration Date1/8/2008Last Updated12/4/2017Contact InformationPractice LocationPractice Address1265 Union Ave Ste 184, Memphis, TN 38104-3415Phone(901) 516-9183Fax(901) 516-8993Mailing LocationMailing AddressP O Box 1000 Dept 457, Memphis, TN 38148-0001Phone(901) 516-9183Fax(901) 516-8993Provider TaxonomiesCodeDescriptionLicenseCode207RN0300XPrimaryDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicense49618TennesseeProvider IdentifiersIDDescriptionIssuerID02433843DescriptionMedicaidIssuerUnlistedMississippiID6002384DescriptionOtherIssuerBCBSTennesseeID1532159DescriptionMedicaidIssuerUnlistedTennesseeID198059001DescriptionMedicaidIssuerUnlistedArkansas