Physician Compare National (NPI:1366412272)

HEALTHCARE PROVIDER: ANTON BAHU DO

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

Individual Professional Information
NPI	1366412272
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	5991792251
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20040428000895
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	BAHU
	Individual professional last name
Provider First Name	ANTON
	Individual professional first name
Provider Gender	M
	The provider's gender if the provider is a person.
Provider Credential Text	DO
	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	MICHIGAN STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
	Individual professional's medical school
Graduation Year	1993
	Individual professional's medical school graduation year
Primary Specialty	FAMILY MEDICINE
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Organization Legal Name	FAMILY PRACTICE CENTRE OF LIVONIA PC
	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	6002803343
	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	5
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	8532 N CANTON CTR RD
	Group Practice or individual's line 1 address
City	CANTON
	Group Practice or individual's city
State	MI
	Group Practice or individual's state
Zip Code	481871310
	Group Practice or individual's zip code (9 digits when available)
Phone Number	7344532151
	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	230002
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	ST MARY MERCY HOSPITAL
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	230244
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	GARDEN CITY HOSPITAL
	Legal business name of hospital where individual professional provides service 2
Professional Accepts Medicare Assignment	Y