Physician Compare National (NPI:1053564872)

HEALTHCARE PROVIDER: PRADIPTA KUMAR SAHU MS, OTR, CHT

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

Individual Professional Information
NPI	1053564872
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	7012058977
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20180509000436
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	SAHU
	Individual professional last name
Provider First Name	PRADIPTA
	Individual professional first name
Provider Middle Name	KUMAR
	Individual professional middle 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	1993
	Individual professional's medical school graduation year
Primary Specialty	OCCUPATIONAL THERAPY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	812 AMHERST ST
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 101
	Group Practice or individual's line 2 address
City	WINCHESTER
	Group Practice or individual's city
State	VA
	Group Practice or individual's state
Zip Code	226013344
	Group Practice or individual's zip code (9 digits when available)
Phone Number	5409124444
	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