Physician Compare National (NPI:1083660633)

HEALTHCARE PROVIDER: UDAYABHASKER GANGAPURAM REDDY 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	1083660633
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	3678586021
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20060901000005
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	GANGAPURAM REDDY
	Individual professional last name
Provider First Name	UDAYABHASKER
	Individual professional first name
Provider Gender	M
	The provider's gender if the provider is a person.
Provider Credential Text	MD
	The abbreviations for professional degrees or credentials used or held by the provider, if the provider is an individual. Examples are MD, DDS, CSW, CNA, AA, NP, RNA, or PSY. These credential designations will not be verified by NPS.

Medical School Information
Medical School Name	OTHER
	Individual professional's medical school
Graduation Year	1987
	Individual professional's medical school graduation year
Primary Specialty	INTERNAL MEDICINE
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Organization Legal Name	GULF COAST PRIMARY CARE PLC
	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	9739192188
	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	2
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	4807 US HWY 19
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 201
	Group Practice or individual's line 2 address
City	NEW PORT RICHEY
	Group Practice or individual's city
State	FL
	Group Practice or individual's state
Zip Code	346524260
	Group Practice or individual's zip code (9 digits when available)
Phone Number	7278479505
	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	100265
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	MORTON PLANT MEASE HEALTHCARE COUNTRYSIDE
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	100043
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	MEASE DUNEDIN HOSPITAL
	Legal business name of hospital where individual professional provides service 2
Professional Accepts Medicare Assignment	Y