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Physician Compare National (NPI:1144481748)

HEALTHCARE PROVIDER: SHANTE HINSON 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 1144481748
Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID 9739357591
Unique individual clinician ID assigned by PECOS
Professional Enrollment ID I20110721000338
Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name HINSON
Individual professional last name
Provider First Name SHANTE
Individual professional first name
Provider Middle Name A
Individual professional middle name
Provider Gender F
The provider's gender if the provider is a person.

Medical School Information

Medical School Name RUTGERS SCHOOL OF DENTAL MEDICINE
Individual professional's medical school
Graduation Year 2008
Individual professional's medical school graduation year
Primary Specialty RHEUMATOLOGY
Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1 INTERNAL MEDICINE
First secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties INTERNAL MEDICINE
All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information

Line 1 Street Address 2119 FREDERICK DOUGLASS BLVD
Group Practice or individual's line 1 address
City NEW YORK
Group Practice or individual's city
State NY
Group Practice or individual's state
Zip Code 100262392
Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information

Professional Accepts Medicare Assignment Y

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