Physician Compare National (NPI:1295793263)

HEALTHCARE PROVIDER: VIVEKANAND KALANADHABHATTA 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	1295793263
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	6709843584
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20041213001110
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	KALANADHABHATTA
	Individual professional last name
Provider First Name	VIVEKANAND
	Individual professional first name
Provider Gender	M
	The provider's gender if the provider is a person.
Provider Credential Text	MD
	The abbreviations for professional degrees or credentials used or held by the provider, if the provider is an individual. Examples are MD, DDS, CSW, CNA, AA, NP, RNA, or PSY. These credential designations will not be verified by NPS.

Medical School Information
Medical School Name	OTHER
	Individual professional's medical school
Graduation Year	1975
	Individual professional's medical school graduation year
Primary Specialty	INTERNAL MEDICINE
	Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1	ALLERGY/IMMUNOLOGY
	First secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties	ALLERGY/IMMUNOLOGY
	All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information
Line 1 Street Address	443 LINDEN BLVD
	Group Practice or individual's line 1 address
City	BROOKLYN
	Group Practice or individual's city
State	NY
	Group Practice or individual's state
Zip Code	112032821
	Group Practice or individual's zip code (9 digits when available)
Phone Number	7187363591
	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	330233
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	BROOKDALE HOSPITAL MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment	Y