Physician Compare National (NPI:1275586158)

HEALTHCARE PROVIDER: SURESH CHANDANI 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	1275586158
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	9739253410
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20080729000442
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	CHANDANI
	Individual professional last name
Provider First Name	SURESH
	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	1968
	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	66 MIDDLEBUSH RD
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 202
	Group Practice or individual's line 2 address
City	WAPPINGERS FALL
	Group Practice or individual's city
State	NY
	Group Practice or individual's state
Zip Code	125904098
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	330023
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	VASSAR BROTHERS MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	330267
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	NEW YORK-PRESBYTERIAN/HUDSON VALLEY HOSPITAL
	Legal business name of hospital where individual professional provides service 2
Professional Accepts Medicare Assignment	Y