Individual ProviderHarshvardhan PardeshiStudent in an Organized Health Care Education/Training ProgramStudent, Health CarePractice Address809 82nd Pkwy, Myrtle Beach, SC 29572(843) 692-3499PECOS EnrollmentBased on the most recent information from CMS, provider Harshvardhan Pardeshi 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 ID1851143127Provider TypeIndividualFull NamePardeshi, HarshvardhanTitleMr.CredentialM.DGenderMaleSole ProprietorYesEnumeration Date4/2/2024Last Updated10/2/2024Contact InformationPractice LocationPractice Address809 82nd Pkwy, Myrtle Beach, SC 29572Phone(843) 692-3499FaxUnlisted FaxMailing LocationMailing Address809 82nd Pkwy, Myrtle Beach, SC 29572PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode390200000XPrimaryDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseUnlisted Issuer