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Physician Compare National (NPI:1346484821)

HEALTHCARE PROVIDER: KRISH PATEL 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 1346484821
Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID 2769624741
Unique individual clinician ID assigned by PECOS
Professional Enrollment ID I20160829002009
Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name PATEL
Individual professional last name
Provider First Name KRISH
Individual professional first name
Provider Gender M
The provider's gender if the provider is a person.

Medical School Information

Medical School Name DUKE UNIVERSITY SCHOOL OF MEDICINE
Individual professional's medical school
Graduation Year 2009
Individual professional's medical school graduation year
Primary Specialty HEMATOLOGY
Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1 HEMATOLOGY/ONCOLOGY
First secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties HEMATOLOGY/ONCOLOGY
All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information

Organization Legal Name SWEDISH HEALTH SERVICES
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 0244138196
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 765
Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address 2320 RUCKER AVE
Group Practice or individual's line 1 address
City EVERETT
Group Practice or individual's city
State WA
Group Practice or individual's state
Zip Code 982012723
Group Practice or individual's zip code (9 digits when available)
Phone Number 4252595121
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 500027
Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1 SWEDISH MEDICAL CENTER - FIRST HILL/BALLARD
Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2 500152
Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2 SWEDISH ISSAQUAH
Legal business name of hospital where individual professional provides service 2
Professional Accepts Medicare Assignment Y

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