Physician Compare National (NPI:1053674028)

HEALTHCARE PROVIDER: AMIN B. GILANI M.D.

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

Individual Professional Information
NPI	1053674028
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	0648588665
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20170717003683
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	GILANI
	Individual professional last name
Provider First Name	AMIN
	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	2008
	Individual professional's medical school graduation year
Primary Specialty	PSYCHIATRY
	Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1	GERIATRIC PSYCHIATRY
	First secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties	GERIATRIC PSYCHIATRY
	All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information
Organization Legal Name	RIVER REGION PSYCHIATRY ASSOCIATES LLC
	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	1254491012
	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	30
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	208 W FORT WILLIAMS ST
	Group Practice or individual's line 1 address
City	SYLACAUGA
	Group Practice or individual's city
State	AL
	Group Practice or individual's state
Zip Code	351502432
	Group Practice or individual's zip code (9 digits when available)
Phone Number	2562844599
	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	010139
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	BROOKWOOD BAPTIST MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment	Y