Physician Compare National (NPI:1407877434)

HEALTHCARE PROVIDER: CAMERON M GOVONLU MD

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

Individual Professional Information
NPI	1407877434
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	3375587389
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20101108000165
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	GOVONLU
	Individual professional last name
Provider First Name	CAMERON
	Individual professional first name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	OTHER
	Individual professional's medical school
Graduation Year	1970
	Individual professional's medical school graduation year
Primary Specialty	INTERVENTIONAL PAIN MANAGEMENT
	Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1	ANESTHESIOLOGY
	First secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties	ANESTHESIOLOGY
	All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information
Line 1 Street Address	1244 BROADWAY
	Group Practice or individual's line 1 address
City	RAYNHAM
	Group Practice or individual's city
State	MA
	Group Practice or individual's state
Zip Code	027671973
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y