Physician Compare National (NPI:1033124854)

HEALTHCARE PROVIDER: RAJEEV KRISHAN 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	1033124854
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	4284714569
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20081104000049
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	KRISHAN
	Individual professional last name
Provider First Name	RAJEEV
	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	1980
	Individual professional's medical school graduation year
Primary Specialty	GASTROENTEROLOGY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	9900 STOCKDALE HWY 208
	Group Practice or individual's line 1 address
City	BAKERSFIELD
	Group Practice or individual's city
State	CA
	Group Practice or individual's state
Zip Code	933113634
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	050036
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	BAKERSFIELD MEMORIAL HOSPITAL
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	050295
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	MERCY HOSPITAL
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	050455
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	ADVENTIST HEALTH BAKERSFIELD
	Legal business name of hospital where individual professional provides service 3
Hospital Affiliation CCN 4	050724
	Medicare CCN of hospital where individual professional provides service 4
Hospital Affiliation LBN 4	BAKERSFIELD HEART HOSPITAL
	Legal business name of hospital where individual professional provides service 4
Professional Accepts Medicare Assignment	Y