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Physician Compare National (NPI:1184874620)

HEALTHCARE PROVIDER: ALYAS P CHAUDHRY 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 1184874620
Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID 9830241785
Unique individual clinician ID assigned by PECOS
Professional Enrollment ID I20100712000438
Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name CHAUDHRY
Individual professional last name
Provider First Name ALYAS
Individual professional first name
Provider Middle Name P
Individual professional middle name
Provider Gender M
The provider's gender if the provider is a person.

Medical School Information

Medical School Name CHICAGO COLLEGE OF MEDICINE AND SURGERY
Individual professional's medical school
Graduation Year 2002
Individual professional's medical school graduation year
Primary Specialty CARDIAC SURGERY
Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information

Organization Legal Name CARDIAC SURGERY ASSOCIATES SC
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 2860304102
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 42
Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address 4480 UTICA RIDGE RD
Group Practice or individual's line 1 address
Line 2 Street Address SUITE 2222
Group Practice or individual's line 2 address
City BETTENDORF
Group Practice or individual's city
State IA
Group Practice or individual's state
Zip Code 527221644
Group Practice or individual's zip code (9 digits when available)
Phone Number 5637423111
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 140280
Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1 TRINITY - ROCK ISLAND
Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2 160057
Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2 GREAT RIVER MEDICAL CENTER
Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3 140275
Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3 GENESIS HLTH SYSTEM DBA GENESIS MDL CTR-ILLINI
Legal business name of hospital where individual professional provides service 3
Professional Accepts Medicare Assignment Y

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