Individual ProviderBhawna GuptaInternal MedicineAllopathic & Osteopathic PhysiciansPractice Address1330 Rockefeller Ave Ste 210, Everett, WA 98201-1676(425) 261-4940PECOS EnrollmentBased on the most recent information from CMS, provider Bhawna Gupta 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 ID1649462102Provider TypeIndividualFull NameGupta, BhawnaTitleDr.CredentialM.B.B.S.GenderFemaleSole ProprietorNoEnumeration Date8/17/2007Last Updated8/24/2021Contact InformationPractice LocationPractice Address1330 Rockefeller Ave Ste 210, Everett, WA 98201-1676Phone(425) 261-4940Fax(425) 261-4932Mailing LocationMailing AddressPO Box 3360, Portland, OR 97208-3360PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode207R00000XPrimaryDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicenseMD60074840Washington