Physician Compare National (NPI:1164409561)

HEALTHCARE PROVIDER: SANTOKH SINGH WALHA 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	1164409561
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	1658472642
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20100908000172
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	WALHA
	Individual professional last name
Provider First Name	SANTOKH
	Individual professional first 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	1983
	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
Line 1 Street Address	9371 CYPRESS LAKE DR
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 16
	Group Practice or individual's line 2 address
City	FORT MYERS
	Group Practice or individual's city
State	FL
	Group Practice or individual's state
Zip Code	339194945
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	100220
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	GULF COAST MEDICAL CENTER LEE MEM HEALTH SYSTEM
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	100244
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	CAPE CORAL HOSPITAL - 100244
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	100012
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	LEE MEMORIAL HOSPITAL
	Legal business name of hospital where individual professional provides service 3
Professional Accepts Medicare Assignment	Y