Physician Compare National (NPI:1326279084)

HEALTHCARE PROVIDER: KOSTADINKA HADZIJSKA SKANDEVA DPM

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

Individual Professional Information
NPI	1326279084
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	0941460380
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20120515000327
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	SKANDEVA
	Individual professional last name
Provider First Name	KOSTADINKA
	Individual professional first name
Provider Middle Name	HADZIJSKA
	Individual professional middle name
Provider Gender	F
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	KENT STATE UNIVERSITY COLLEGE OF PODIATRIC MEDICINE
	Individual professional's medical school
Graduation Year	2008
	Individual professional's medical school graduation year
Primary Specialty	PODIATRY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	6151 FULLER CT
	Group Practice or individual's line 1 address
City	ALEXANDRIA
	Group Practice or individual's city
State	VA
	Group Practice or individual's state
Zip Code	223102541
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y