Physician Compare National (NPI:1043479082)

HEALTHCARE PROVIDER: EFUA ASAMOAH-ODEI 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	1043479082
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	8820267123
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20110930000358
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	ASAMOAH-ODEI
	Individual professional last name
Provider First Name	EFUA
	Individual professional first name
Provider Gender	F
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	HOWARD UNIVERSITY COLLEGE OF MEDICINE
	Individual professional's medical school
Graduation Year	2004
	Individual professional's medical school graduation year
Primary Specialty	NEPHROLOGY
	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
Organization Legal Name	CLINICAL NEPHROLOGY ASSOCIATES, LTD.
	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	6800879859
	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	7
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	235 N BROAD ST
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 200
	Group Practice or individual's line 2 address
City	PHILADELPHIA
	Group Practice or individual's city
State	PA
	Group Practice or individual's state
Zip Code	191071531
	Group Practice or individual's zip code (9 digits when available)
Phone Number	2157627785
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	390027
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	TEMPLE UNIVERSITY HOSPITAL
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	390312
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	EASTERN REGIONAL MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	390174
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	THOMAS JEFFERSON UNIVERSITY HOSPITAL
	Legal business name of hospital where individual professional provides service 3
Professional Accepts Medicare Assignment	Y