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Physician Compare National (NPI:1306811773)

HEALTHCARE PROVIDER: DR. SUKHWINDER K HUNDLE

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

Individual Professional Information

NPI 1306811773
Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID 3274552062
Unique individual clinician ID assigned by PECOS
Professional Enrollment ID I20051122000587
Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name HUNDLE
Individual professional last name
Provider First Name SUKHWINDER
Individual professional first name
Provider Middle Name K
Individual professional middle name
Provider Gender F
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 1978
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 GERIATRIC MEDICINE
First secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties GERIATRIC MEDICINE
All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information

Line 1 Street Address 721 N BEERS ST
Group Practice or individual's line 1 address
Line 2 Street Address SUITE 1A
Group Practice or individual's line 2 address
City HOLMDEL
Group Practice or individual's city
State NJ
Group Practice or individual's state
Zip Code 077331500
Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information

Hospital Affiliation CCN 1 310073
Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1 JERSEY SHORE UNIVERSITY MEDICAL CENTER
Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2 310108
Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2 JFK MEDICAL CENTER
Legal business name of hospital where individual professional provides service 2
Professional Accepts Medicare Assignment Y

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