Individual ProviderPriyanka JethwaniInternal MedicineAllopathic & Osteopathic PhysiciansPractice Address1265 Union Ave, Memphis, TN 38104-3415(901) 478-9183(901) 478-0957PECOS EnrollmentBased on the most recent information from CMS, provider Priyanka Jethwani 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 12:57 PM.Profile DetailsProvider ID1801247481Provider TypeIndividualFull NameJethwani, PriyankaCredentialM.D.GenderFemaleSole ProprietorNoEnumeration Date6/25/2016Last Updated7/21/2022Contact InformationPractice LocationPractice Address1265 Union Ave, Memphis, TN 38104-3415Phone(901) 478-9183Fax(901) 478-8957Mailing LocationMailing Address1211 Union Ave Ste 330, Memphis, TN 38104-6655Phone(901) 478-0957Fax(901) 478-0951Provider TaxonomiesCodeDescriptionLicenseCode207RN0300XPrimaryDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicense65488Tennessee