Physician Compare National (NPI:1164442778)

HEALTHCARE PROVIDER: NASHIN MANOHAR D.O.

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

Individual Professional Information
NPI	1164442778
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	1759342868
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20041023000228
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	MANOHAR
	Individual professional last name
Provider First Name	NASHIN
	Individual professional first name
Provider Gender	M
	The provider's gender if the provider is a person.
Provider Credential Text	MD
	The abbreviations for professional degrees or credentials used or held by the provider, if the provider is an individual. Examples are MD, DDS, CSW, CNA, AA, NP, RNA, or PSY. These credential designations will not be verified by NPS.

Medical School Information
Medical School Name	NEW YORK COLLEGE OF OSTEO MEDICINE OF NEW YORK INSTITUTE OF TECHNOLOGY
	Individual professional's medical school
Graduation Year	1996
	Individual professional's medical school graduation year
Primary Specialty	PHYSICAL MEDICINE AND REHABILITATION
	Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1	INTERVENTIONAL PAIN MANAGEMENT
	First secondary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 2	PAIN MANAGEMENT
	Second secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties	INTERVENTIONAL PAIN MANAGEMENT, PAIN MANAGEMENT
	All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information
Line 1 Street Address	2123 CORNERSTONE BLVD
	Group Practice or individual's line 1 address
City	EDINBURG
	Group Practice or individual's city
State	TX
	Group Practice or individual's state
Zip Code	785398301
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	450869
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	DOCTORS HOSPITAL AT RENAISSANCE
	Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment	Y