Individual ProviderPrasanna MaratheRadiologyAllopathic & Osteopathic PhysiciansPractice Address600 N Wolfe St, Baltimore, MD 21287-0005(410) 955-5000(859) 323-6162PECOS EnrollmentBased on the most recent information from CMS, provider Prasanna Marathe 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 ID1588169197Provider TypeIndividualFull NameMarathe, PrasannaCredentialMDGenderMaleSole ProprietorNoEnumeration Date3/26/2018Last Updated8/31/2023Contact InformationPractice LocationPractice Address600 N Wolfe St, Baltimore, MD 21287-0005Phone(410) 955-5000FaxUnlisted FaxMailing LocationMailing Address800 Rose St # C-246, Lexington, KY 40536-0293Phone(859) 323-6162Fax(859) 257-8934Provider TaxonomiesCodeDescriptionLicenseCode2085R0202XPrimaryDescriptionRadiologyAllopathic & Osteopathic PhysiciansLicenseD96562Maryland