Individual ProviderArjun BalakumarEmergency MedicineAllopathic & Osteopathic PhysiciansPractice Address101 Nicolls Rd, Stony Brook, NY 11794-0001(631) 444-3880PECOS EnrollmentBased on the most recent information from CMS, provider Arjun Balakumar 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 4 days ago.Profile DetailsProvider ID1619504115Provider TypeIndividualFull NameBalakumar, ArjunCredentialMDGenderMaleSole ProprietorNoEnumeration Date3/25/2020Last Updated6/11/2024Contact InformationPractice LocationPractice Address101 Nicolls Rd, Stony Brook, NY 11794-0001Phone(631) 444-3880FaxUnlisted FaxMailing LocationMailing Address101 Nicolls Rd, Stony Brook, NY 11794-0001PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode207P00000XPrimaryDescriptionEmergency MedicineAllopathic & Osteopathic PhysiciansLicenseM-2368GuamCode207P00000XDescriptionEmergency MedicineAllopathic & Osteopathic PhysiciansLicense1018138MassachusettsCode390200000XDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseUnlisted Issuer