Physician Compare National (NPI:1164427183)

HEALTHCARE PROVIDER: MYLAPPAN SELVARAJ 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	1164427183
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	0143416594
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20101124000123
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	SELVARAJ
	Individual professional last name
Provider First Name	MYLAPPAN
	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	1975
	Individual professional's medical school graduation year
Primary Specialty	CARDIOVASCULAR DISEASE (CARDIOLOGY)
	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	600 MEDICAL ARTS BLDG
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 670
	Group Practice or individual's line 2 address
City	KITTANNING
	Group Practice or individual's city
State	PA
	Group Practice or individual's state
Zip Code	162017110
	Group Practice or individual's zip code (9 digits when available)
Phone Number	7245459774
	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	390163
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	ACMH HOSPITAL
	Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment	Y