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Physician Compare National (NPI:1033264999)

HEALTHCARE PROVIDER: GULNAR POORSATTAR 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 1033264999
Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID 3971592676
Unique individual clinician ID assigned by PECOS
Professional Enrollment ID I20120503000005
Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name POORSATTAR
Individual professional last name
Provider First Name GULNAR
Individual professional first name
Provider Middle Name P
Individual professional middle name
Provider Gender F
The provider's gender if the provider is a person.

Medical School Information

Medical School Name OTHER
Individual professional's medical school
Graduation Year 1975
Individual professional's medical school graduation year
Primary Specialty INTERNAL MEDICINE
Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1 ENDOCRINOLOGY
First secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties ENDOCRINOLOGY
All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information

Line 1 Street Address 1700 LOMBARD ST
Group Practice or individual's line 1 address
Line 2 Street Address SUITE 115
Group Practice or individual's line 2 address
City OXNARD
Group Practice or individual's city
State CA
Group Practice or individual's state
Zip Code 930308211
Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information

Professional Accepts Medicare Assignment Y

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