Individual ProviderKeerthi MannubethrenjithStudent in an Organized Health Care Education/Training ProgramStudent, Health CarePractice Address1555 Long Pond Rd, Rochester, NY 14626-4164(585) 723-7746PECOS EnrollmentBased on the most recent information from CMS, provider Keerthi Mannubethrenjith does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1992484588Provider TypeIndividualFull NameMannubethrenjith, KeerthiCredentialMDGenderFemaleSole ProprietorNoEnumeration Date7/12/2023Last Updated7/12/2023Contact InformationPractice LocationPractice Address1555 Long Pond Rd, Rochester, NY 14626-4164Phone(585) 723-7746Fax(585) 723-7834Mailing LocationMailing Address1555 Long Pond Rd, Rochester, NY 14626-4164Phone(585) 723-7746Fax(585) 723-7834Provider TaxonomiesCodeDescriptionLicenseCode390200000XPrimaryDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseUnlisted Issuer