Individual ProviderSai ShahStudent in an Organized Health Care Education/Training ProgramStudent, Health CarePractice Address101 The City Drive, City Tower, Suite 400, Orange, CA 92868(714) 456-5691(602) 384-8971PECOS EnrollmentBased on the most recent information from CMS, provider Sai Shah 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 9:43 AM.Profile DetailsProvider ID1598468415Provider TypeIndividualFull NameShah, SaiGenderMaleSole ProprietorYesEnumeration Date3/22/2023Last Updated3/22/2023Contact InformationPractice LocationPractice Address101 The City Drive, City Tower, Suite 400, Orange, CA 92868Phone(714) 456-5691FaxUnlisted FaxMailing LocationMailing Address3156 W Zachary Dr, Phoenix, AZ 85027-6092Phone(602) 384-8971FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode390200000XPrimaryDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseUnlisted Issuer