Look up the most recent NPI and PECOS records

Juhi Koolwal

Radiology

Allopathic & Osteopathic Physicians

1 Hospital Dirve Ddc06910, Columbia, MO 65212

PECOS Enrollment

Based on the most recent information from CMS, provider Juhi Koolwal is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1952832859
Provider Type
Individual
Full Name
Koolwal, Juhi
Gender
Female

Sole Proprietor
No
Enumeration Date
3/22/2017
Last Updated
9/12/2019

Contact Information

Practice Location

1 Hospital Dirve Ddc06910, Columbia, MO 65212

(573) 882-7901

Unlisted Fax

Mailing Location

1 Hospital Dirve Ddc06910, Columbia, MO 65212

(573) 882-7901

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 2085R0202X Primary	Description Radiology Allopathic & Osteopathic Physicians	License 2018020494 Missouri

Juhi Koolwal

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Vaslow, Dale F

Cleek, John

Mcnaul, David Wayne

Silva, Philip L

Baqar, Mohammad

Thimmappa, Nanda Deepa

Frederick, Benjamin Keith

Schmidt, Joel

Mazuru-Witten, Dana Gabriela

Vega, Benjamin Sherwood