Individual ProviderAmita DharawatInternal MedicineAllopathic & Osteopathic PhysiciansPractice Address8700 Beverly Blvd, West Hollywood, CA 90048-1804(310) 829-7678(310) 854-4995PECOS EnrollmentBased on the most recent information from CMS, provider Amita Dharawat 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 ID1689856635Provider TypeIndividualFull NameDharawat, AmitaTitleDr.CredentialM.D.GenderFemaleSole ProprietorNoEnumeration Date12/2/2007Last Updated1/27/2025Contact InformationPractice LocationPractice Address8700 Beverly Blvd, West Hollywood, CA 90048-1804Phone(310) 829-7678FaxUnlisted FaxMailing LocationMailing Address900 S Figueroa St, Apt #804, Los Angeles, CA 90015-1698Phone(310) 854-4995FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode207RC0000XPrimaryDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicenseA121022CaliforniaCode390200000XDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseUnlisted Issuer