Individual ProviderTushar MenonStudent in an Organized Health Care Education/Training ProgramStudent, Health CarePractice Address18701 N 67th Ave, Glendale, AZ 85308-7100(623) 561-1000PECOS EnrollmentBased on the most recent information from CMS, provider Tushar Menon 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 6 days ago.Profile DetailsProvider ID1689293862Provider TypeIndividualFull NameMenon, TusharGenderMaleSole ProprietorYesEnumeration Date4/8/2020Last Updated11/27/2023Contact InformationPractice LocationPractice Address18701 N 67th Ave, Glendale, AZ 85308-7100Phone(623) 561-1000FaxUnlisted FaxMailing LocationMailing Address18701 N 67th Ave, Glendale, AZ 85308-7100PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode390200000XPrimaryDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseUnlisted Issuer