Physician Compare National (NPI:1073591970)

HEALTHCARE PROVIDER: RIPUDAMAN S HUNDAL 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	1073591970
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	4082893102
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20110121000363
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	HUNDAL
	Individual professional last name
Provider First Name	RIPUDAMAN
	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	OTHER
	Individual professional's medical school
Graduation Year	1987
	Individual professional's medical school graduation year
Primary Specialty	ENDOCRINOLOGY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	774 CHRISTIANA RD
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 109
	Group Practice or individual's line 2 address
City	NEWARK
	Group Practice or individual's city
State	DE
	Group Practice or individual's state
Zip Code	197134248
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	080001
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	CHRISTIANA HOSPITAL
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	080004
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	BAYHEALTH HOSPITAL, KENT CAMPUS
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	080003
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	ST FRANCIS HOSPITAL
	Legal business name of hospital where individual professional provides service 3
Hospital Affiliation CCN 4	210032
	Medicare CCN of hospital where individual professional provides service 4
Hospital Affiliation LBN 4	UNION HOSPITAL OF CECIL COUNTY
	Legal business name of hospital where individual professional provides service 4
Professional Accepts Medicare Assignment	Y