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Physician Compare National (NPI:1366488603)

HEALTHCARE PROVIDER: KALPNA DURAIRAJ 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 1366488603
Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID 5092769877
Unique individual clinician ID assigned by PECOS
Professional Enrollment ID I20050303001074
Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name DURAIRAJ
Individual professional last name
Provider First Name KALPNA
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 UNIVERSITY OF SOUTHERN CALIFORNIA KECK SCHOOL OF MEDICINE
Individual professional's medical school
Graduation Year 1994
Individual professional's medical school graduation year
Primary Specialty OTOLARYNGOLOGY
Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information

Line 1 Street Address 800 FAIRMOUNT AVE
Group Practice or individual's line 1 address
Line 2 Street Address SUITE 325
Group Practice or individual's line 2 address
City PASADENA
Group Practice or individual's city
State CA
Group Practice or individual's state
Zip Code 911053153
Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information

Professional Accepts Medicare Assignment Y

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