Individual ProviderNanda Deepa ThimmappaRadiologyAllopathic & Osteopathic PhysiciansPractice Address1 Hospital Dr, Columbia, MO 65212-0001(573) 882-1026(573) 884-3300PECOS EnrollmentBased on the most recent information from CMS, provider Nanda Deepa Thimmappa 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 2 days ago.Profile DetailsProvider ID1639472384Provider TypeIndividualFull NameThimmappa, Nanda DeepaCredentialM.D.GenderFemaleSole ProprietorNoEnumeration Date12/17/2010Last Updated9/12/2022Contact InformationPractice LocationPractice Address1 Hospital Dr, Columbia, MO 65212-0001Phone(573) 882-1026Fax(573) 884-4457Mailing LocationMailing AddressPO Box 843966, Kansas City, MO 64184-3966Phone(573) 884-3300Fax(573) 884-0943Provider TaxonomiesCodeDescriptionLicenseCode2085R0202XPrimaryDescriptionRadiologyAllopathic & Osteopathic PhysiciansLicense2017039264Missouri