Physician Compare National (NPI:1003187642)

HEALTHCARE PROVIDER: ANAND SHANKER BALACHANDRAN MD

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1003187642
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	4486948973
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20160805001323
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	BALACHANDRAN
	Individual professional last name
Provider First Name	ANAND SHANKER
	Individual professional first name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	OTHER
	Individual professional's medical school
Graduation Year	2005
	Individual professional's medical school graduation year
Primary Specialty	CARDIOVASCULAR DISEASE (CARDIOLOGY)
	Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1	INTERNAL MEDICINE
	First secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties	INTERNAL MEDICINE
	All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information
Line 1 Street Address	331 PARKS AVE
	Group Practice or individual's line 1 address
City	SCOTTSBORO
	Group Practice or individual's city
State	AL
	Group Practice or individual's state
Zip Code	357682411
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	010131
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	CRESTWOOD MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	010039
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	HUNTSVILLE HOSPITAL
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	010061
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	HIGHLANDS MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 3
Professional Accepts Medicare Assignment	Y