Physician Compare National (NPI:1265500698)

HEALTHCARE PROVIDER: GIRI BABU MANNEPULI 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	1265500698
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	1658565163
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20101029000197
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	MANNEPULI
	Individual professional last name
Provider First Name	GIRI
	Individual professional first name
Provider Middle Name	B
	Individual professional middle 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	1988
	Individual professional's medical school graduation year
Primary Specialty	FAMILY MEDICINE
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	3535 N 5TH ST HWY
	Group Practice or individual's line 1 address
City	READING
	Group Practice or individual's city
State	PA
	Group Practice or individual's state
Zip Code	196051703
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	390044
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	READING HOSPITAL
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	390096
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	ST JOSEPH MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 2
Professional Accepts Medicare Assignment	Y