Physician Compare National (NPI:1053572164)

HEALTHCARE PROVIDER: HANUL SRINIVAS BHANDARI 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	1053572164
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	7517195498
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20140123000689
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	BHANDARI
	Individual professional last name
Provider First Name	HANUL
	Individual professional first name
Provider Middle Name	S
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	UNIVERSITY OF TEXAS MEDICAL BRANCH AT GALVESTON
	Individual professional's medical school
Graduation Year	2008
	Individual professional's medical school graduation year
Primary Specialty	NEUROLOGY
	Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1	SLEEP MEDICINE
	First secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties	SLEEP MEDICINE
	All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information
Line 1 Street Address	4358 LOCKHILL SELMA RD
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 106
	Group Practice or individual's line 2 address
City	SHAVANO PARK
	Group Practice or individual's city
State	TX
	Group Practice or individual's state
Zip Code	782494167
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	370216
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	TULSA SPINE & SPECIALTY HOSPITAL, LLC
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	370091
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	SAINT FRANCIS HOSPITAL, INC
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	100204
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	NORTH FLORIDA REGIONAL MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 3
Professional Accepts Medicare Assignment	Y