Physician Compare National (NPI:1174566160)

HEALTHCARE PROVIDER: ALLAN NEIL SHULKIN 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	1174566160
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	2769520352
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20091119000450
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	SHULKIN
	Individual professional last name
Provider First Name	ALLAN
	Individual professional first name
Provider Middle Name	NEAL
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL SCHOOL AT DALLAS
	Individual professional's medical school
Graduation Year	1978
	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	CRITICAL CARE (INTENSIVISTS)
	First secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties	CRITICAL CARE (INTENSIVISTS)
	All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information
Line 1 Street Address	7777 FOREST LN
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE B202
	Group Practice or individual's line 2 address
City	DALLAS
	Group Practice or individual's city
State	TX
	Group Practice or individual's state
Zip Code	752302509
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	450647
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	MEDICAL CITY DALLAS HOSPITAL
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	670025
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	THE HEART HOSPITAL BAYLOR PLANO
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	450651
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	MEDICAL CITY PLANO
	Legal business name of hospital where individual professional provides service 3
Professional Accepts Medicare Assignment	Y