Physician Compare National (NPI:1174728885)

HEALTHCARE PROVIDER: SRIKANTH SADHU 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	1174728885
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	0648345355
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20120601000232
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	SADHU
	Individual professional last name
Provider First Name	SRIKANTH
	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	1997
	Individual professional's medical school graduation year
Primary Specialty	INTERVENTIONAL CARDIOLOGY
	Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1	CARDIOVASCULAR DISEASE (CARDIOLOGY)
	First secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties	CARDIOVASCULAR DISEASE (CARDIOLOGY)
	All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information
Organization Legal Name	PREMIER HEALTH SPECIALISTS INC
	Legal name of the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Group Practice PAC ID	5597708594
	Unique Group Practice ID assigned by PECOS to the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Number of Group Practice members	327
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	122 WYOMING ST
	Group Practice or individual's line 1 address
City	DAYTON
	Group Practice or individual's city
State	OH
	Group Practice or individual's state
Zip Code	454092731
	Group Practice or individual's zip code (9 digits when available)
Phone Number	9372234461
	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	360051
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	MIAMI VALLEY HOSPITAL
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	360076
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	ATRIUM MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	360044
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	WAYNE HEALTHCARE
	Legal business name of hospital where individual professional provides service 3
Hospital Affiliation CCN 4	360058
	Medicare CCN of hospital where individual professional provides service 4
Hospital Affiliation LBN 4	MERCER COUNTY JOINT TOWNSHIP COMMUNITY HOSPITAL
	Legal business name of hospital where individual professional provides service 4
Hospital Affiliation CCN 5	360174
	Medicare CCN of hospital where individual professional provides service 5
Hospital Affiliation LBN 5	UPPER VALLEY MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 5
Professional Accepts Medicare Assignment	Y

Physician Compare National (NPI:1174728885)

HEALTHCARE PROVIDER: SRIKANTH SADHU MD

Individual Professional Information

Medical School Information

Practice Information

Hospital(s) Affiliation Information