Physician Compare National (NPI:1003906017)

HEALTHCARE PROVIDER: AMIT AGRAWAL 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	1003906017
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	7315010097
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20091030000321
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	AGRAWAL
	Individual professional last name
Provider First Name	AMIT
	Individual professional first name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	MEDICAL UNIVERSITY OF SOUTH CAROLINA COLLEGE OF MEDICINE
	Individual professional's medical school
Graduation Year	2000
	Individual professional's medical school graduation year
Primary Specialty	GASTROENTEROLOGY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Organization Legal Name	EASTERN MAINE MEDICAL CENTER
	Legal name of the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Group Practice PAC ID	2062315161
	Unique Group Practice ID assigned by PECOS to the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Number of Group Practice members	640
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	489 STATE ST
	Group Practice or individual's line 1 address
City	BANGOR
	Group Practice or individual's city
State	ME
	Group Practice or individual's state
Zip Code	044016616
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	200033
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	EASTERN MAINE MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	420004
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	MUSC MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	200018
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	AROOSTOOK MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 3
Hospital Affiliation CCN 4	201313
	Medicare CCN of hospital where individual professional provides service 4
Hospital Affiliation LBN 4	SEBASTICOOK VALLEY HEALTH
	Legal business name of hospital where individual professional provides service 4
Hospital Affiliation CCN 5	200050
	Medicare CCN of hospital where individual professional provides service 5
Hospital Affiliation LBN 5	MAINE COAST MEMORIAL HOSPITAL
	Legal business name of hospital where individual professional provides service 5
Professional Accepts Medicare Assignment	Y

Physician Compare National (NPI:1003906017)

HEALTHCARE PROVIDER: AMIT AGRAWAL MD

Individual Professional Information

Medical School Information

Practice Information

Hospital(s) Affiliation Information