Physician Compare National (NPI:1285977231)

HEALTHCARE PROVIDER: CHINONYE CHIKA OGBONNAYA-ODOR M.D

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1285977231
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	2062768153
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20180703000626
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	OGBONNAYA-ODOR
	Individual professional last name
Provider First Name	CHINONYE
	Individual professional first name
Provider Middle Name	CHIKA
	Individual professional middle name
Provider Gender	F
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	MEDICAL COLLEGE OF GEORGIA SCHOOL OF MEDICINE
	Individual professional's medical school
Graduation Year	2013
	Individual professional's medical school graduation year
Primary Specialty	NEPHROLOGY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Organization Legal Name	SOWMYA PUTHALAPATTU PA
	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	8729222963
	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	2
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	201 KINGWOOD MEDICAL DR
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE B200
	Group Practice or individual's line 2 address
City	KINGWOOD
	Group Practice or individual's city
State	TX
	Group Practice or individual's state
Zip Code	773396016
	Group Practice or individual's zip code (9 digits when available)
Phone Number	2814019540
	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	450775
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	KINGWOOD MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	450684
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	MEMORIAL HERMANN NORTHEAST
	Legal business name of hospital where individual professional provides service 2
Professional Accepts Medicare Assignment	Y