Individual ProviderManoharan MuthuveluRadiologyAllopathic & Osteopathic PhysiciansPractice Address100 N Academy Ave, Danville, PA 17822-0001(570) 271-6301(570) 271-6144PECOS EnrollmentBased on the most recent information from CMS, provider Manoharan Muthuvelu 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 3 days ago.Profile DetailsProvider ID1609062223Provider TypeIndividualFull NameMuthuvelu, ManoharanTitleDr.CredentialMD MRCP FRCR MSCGenderMaleSole ProprietorNoEnumeration Date9/18/2007Last Updated7/31/2020Contact InformationPractice LocationPractice Address100 N Academy Ave, Danville, PA 17822-0001Phone(570) 271-6301Fax(570) 271-5976Mailing LocationMailing Address100 N Academy Ave, Danville, PA 17822-4903Phone(570) 271-6144Fax(570) 271-6578Provider TaxonomiesCodeDescriptionLicenseCode2085R0202XPrimaryDescriptionRadiologyAllopathic & Osteopathic PhysiciansLicenseMD432405PennsylvaniaCode390200000XDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseUnlisted IssuerProvider IdentifiersIDDescriptionIssuerID102092597DescriptionMedicaidIssuerUnlistedPennsylvania