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Physician Compare National (NPI:1376537951)

HEALTHCARE PROVIDER: AMARANATH GHANTA M.D.,FCCP,D,ABSM

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

Individual Professional Information

NPI 1376537951
Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID 0840393005
Unique individual clinician ID assigned by PECOS
Professional Enrollment ID I20070309000079
Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name GHANTA
Individual professional last name
Provider First Name AMARANATH
Individual professional first name
Provider Gender M
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 OTHER
Individual professional's medical school
Graduation Year 1980
Individual professional's medical school graduation year
Primary Specialty PULMONARY DISEASE
Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1 INTERNAL MEDICINE
First secondary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 2 SLEEP MEDICINE
Second secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties INTERNAL MEDICINE, SLEEP MEDICINE
All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information

Line 1 Street Address 600 N WASHINGTON
Group Practice or individual's line 1 address
City ODESSA
Group Practice or individual's city
State TX
Group Practice or individual's state
Zip Code 797614436
Group Practice or individual's zip code (9 digits when available)
Phone Number 4323375223
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 450132
Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1 MEDICAL CENTER HOSPITAL
Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment Y

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