Individual ProviderSoundarya SomasundaramPhysician AssistantPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address1201 Pacific Ave Ste 400, Tacoma, WA 98402-4381(253) 300-8453PECOS EnrollmentBased on the most recent information from CMS, provider Soundarya Somasundaram 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 6 days ago.Profile DetailsProvider ID1487226411Provider TypeIndividualFull NameSomasundaram, SoundaryaCredentialPA-CGenderFemaleSole ProprietorNoEnumeration Date7/9/2021Last Updated7/9/2021Contact InformationPractice LocationPractice Address1201 Pacific Ave Ste 400, Tacoma, WA 98402-4381Phone(253) 300-8453Fax(206) 590-5919Mailing LocationMailing Address1201 Pacific Ave Ste 400, Tacoma, WA 98402-4381Phone(253) 300-8453Fax(206) 590-5919Provider TaxonomiesCodeDescriptionLicenseCode363A00000XPrimaryDescriptionPhysician AssistantPhysician Assistants & Advanced Practice Nursing ProvidersLicensePABP.BG.61195408Washington