Physician Compare National (NPI:1154404754)

HEALTHCARE PROVIDER: NADIA KRUPNIKOVA 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	1154404754
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	8224169461
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20100701000494
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	KRUPNIKOVA
	Individual professional last name
Provider First Name	NADIA
	Individual professional first name
Provider Gender	F
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	OTHER
	Individual professional's medical school
Graduation Year	1989
	Individual professional's medical school graduation year
Primary Specialty	PSYCHIATRY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	4509 EVERETT ST
	Group Practice or individual's line 1 address
City	KENSINGTON
	Group Practice or individual's city
State	MD
	Group Practice or individual's state
Zip Code	208954125
	Group Practice or individual's zip code (9 digits when available)
Phone Number	3015641529
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y