Physician Compare National (NPI:1154392421)

HEALTHCARE PROVIDER: ASHA VYAS DEVEREAUX MD, MPH

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

Individual Professional Information
NPI	1154392421
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	4082791819
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20080403000471
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	DEVEREAUX
	Individual professional last name
Provider First Name	ASHA
	Individual professional first name
Provider Middle Name	V
	Individual professional middle name
Provider Gender	F
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	TULANE UNIVERSITY SCHOOL OF MEDICINE
	Individual professional's medical school
Graduation Year	1991
	Individual professional's medical school graduation year
Primary Specialty	PULMONARY DISEASE
	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	1224 10TH ST
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 205
	Group Practice or individual's line 2 address
City	CORONADO
	Group Practice or individual's city
State	CA
	Group Practice or individual's state
Zip Code	921183420
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	050234
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	SHARP CORONADO HOSPITAL AND HLTHCR CTR
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	050100
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	SHARP MEMORIAL HOSPITAL
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	050222
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	SHARP CHULA VISTA MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 3
Professional Accepts Medicare Assignment	Y