Individual ProviderPragatheeshwar ThirunavukarasuSurgeryAllopathic & Osteopathic PhysiciansPractice Address1841 Quiet Cv, Fayetteville, NC 28304-3985(910) 323-2626(910) 615-6949PECOS EnrollmentBased on the most recent information from CMS, provider Pragatheeshwar Thirunavukarasu 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 12 days ago.Profile DetailsProvider ID1588717227Provider TypeIndividualFull NameThirunavukarasu, PragatheeshwarTitleDr.CredentialMBBSGenderMaleSole ProprietorNoEnumeration Date1/18/2007Last Updated10/27/2025Contact InformationPractice LocationPractice Address1841 Quiet Cv, Fayetteville, NC 28304-3985Phone(910) 323-2626FaxUnlisted FaxMailing LocationMailing AddressPO Box 40908, Fayetteville, NC 28309-0908Phone(910) 615-6949Fax(910) 615-9761Provider TaxonomiesCodeDescriptionLicenseCode208600000XPrimaryDescriptionSurgeryAllopathic & Osteopathic PhysiciansLicense2020-00591North CarolinaCode2086X0206XDescriptionSurgeryAllopathic & Osteopathic PhysiciansLicenseQ4861TexasCode208600000XDescriptionSurgeryAllopathic & Osteopathic PhysiciansLicense32436OklahomaCode208600000XDescriptionSurgeryAllopathic & Osteopathic PhysiciansLicenseQ4861TexasCode208600000XDescriptionSurgeryAllopathic & Osteopathic PhysiciansLicense270472New York