Individual ProviderRajarajan PanneerselvanInternal MedicineAllopathic & Osteopathic PhysiciansPractice Address1381 Westgate Center Dr, Winston Salem, NC 27103-2934(336) 718-0100PECOS EnrollmentBased on the most recent information from CMS, provider Rajarajan Panneerselvan 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 ID1528410255Provider TypeIndividualFull NamePanneerselvan, RajarajanCredentialMDGenderMaleSole ProprietorNoEnumeration Date7/6/2016Last Updated5/1/2025Contact InformationPractice LocationPractice Address1381 Westgate Center Dr, Winston Salem, NC 27103-2934Phone(336) 718-0100Fax(336) 718-0120Mailing LocationMailing AddressPO Box 751803, Charlotte, NC 28275-1803PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode207R00000XPrimaryDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicense2019-01847North CarolinaCode207R00000XDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicense4301110552Michigan