Physician Compare National (NPI:1215943428)

HEALTHCARE PROVIDER: CHINTAMANI RAJU VORA 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	1215943428
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	7517117575
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20121029000226
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	VORA
	Individual professional last name
Provider First Name	CHINTAMANI
	Individual professional first name
Provider Middle Name	R
	Individual professional middle name
Provider Gender	F
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	OTHER
	Individual professional's medical school
Graduation Year	1972
	Individual professional's medical school graduation year
Primary Specialty	PSYCHIATRY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	215 TREUHAFT BLVD
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 3
	Group Practice or individual's line 2 address
City	BARBOURVILLE
	Group Practice or individual's city
State	KY
	Group Practice or individual's state
Zip Code	409067361
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	180080
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	BAPTIST HEALTH CORBIN
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	181328
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	KNOX COUNTY HOSPITAL
	Legal business name of hospital where individual professional provides service 2
Professional Accepts Medicare Assignment	Y