Individual ProviderNikunj WasudevRadiologyAllopathic & Osteopathic PhysiciansPractice Address3949 Browning Pl, Raleigh, NC 27609-6504(919) 788-7411PECOS EnrollmentBased on the most recent information from CMS, provider Nikunj Wasudev 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 9:15 AM.Profile DetailsProvider ID1639286651Provider TypeIndividualFull NameWasudev, NikunjTitleDr.CredentialMDGenderMaleSole ProprietorNoEnumeration Date8/24/2006Last Updated9/16/2010Contact InformationPractice LocationPractice Address3949 Browning Pl, Raleigh, NC 27609-6504Phone(919) 788-7411Fax(919) 789-4461Mailing LocationMailing Address3949 Browning Pl, Raleigh, NC 27609-6504Phone(919) 788-7411Fax(919) 789-4461Provider TaxonomiesCodeDescriptionLicenseCode2085R0202XPrimaryDescriptionRadiologyAllopathic & Osteopathic PhysiciansLicense2007-00682North CarolinaProvider IdentifiersIDDescriptionIssuerID2067047ADescriptionOtherIssuerMEDICARENorth CarolinaID2067047DescriptionOtherIssuerMEDICARENorth CarolinaID2067047BDescriptionOtherIssuerMEDICARENorth Carolina