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Physician Compare National (NPI:1003952466)

HEALTHCARE PROVIDER: ANUP KUBAL M.D.

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

Individual Professional Information

NPI 1003952466
Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID 4284771361
Unique individual clinician ID assigned by PECOS
Professional Enrollment ID I20091021000723
Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name KUBAL
Individual professional last name
Provider First Name ANUP
Individual professional first name
Provider Middle Name A
Individual professional middle name
Provider Gender M
The provider's gender if the provider is a person.

Medical School Information

Medical School Name COLUMBIA UNIVERSITY COLLEGE OF PHYSICIANS AND SURGEONS
Individual professional's medical school
Graduation Year 2005
Individual professional's medical school graduation year
Primary Specialty OPHTHALMOLOGY
Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information

Organization Legal Name AKER KASTEN EYE 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 9234038902
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 2
Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address 1445 NWBOCA RATON BLVD
Group Practice or individual's line 1 address
City BOCA RATON
Group Practice or individual's city
State FL
Group Practice or individual's state
Zip Code 334321610
Group Practice or individual's zip code (9 digits when available)
Phone Number 5613387722
Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information

Professional Accepts Medicare Assignment M

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