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Physician Compare National (NPI:1326141722)

HEALTHCARE PROVIDER: JATIN B. DAAS 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 1326141722
Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID 3476538455
Unique individual clinician ID assigned by PECOS
Professional Enrollment ID I20120206000725
Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name DAAS
Individual professional last name
Provider First Name JATIN
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 1985
Individual professional's medical school graduation year
Primary Specialty INTERNAL MEDICINE
Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information

Line 1 Street Address 20224 N 27TH AVE
Group Practice or individual's line 1 address
Line 2 Street Address 101 ARIZONA PRIMARY CARE
Group Practice or individual's line 2 address
City PHOENIX
Group Practice or individual's city
State AZ
Group Practice or individual's state
Zip Code 850273257
Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information

Hospital Affiliation CCN 1 030092
Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1 HONORHEALTH DEER VALLEY MEDICAL CENTER
Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment Y

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