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Physician Compare National (NPI:1427030717)

HEALTHCARE PROVIDER: SAMIR PATTNI O.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 1427030717
Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID 0648320317
Unique individual clinician ID assigned by PECOS
Professional Enrollment ID I20090618000430
Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name PATTNI
Individual professional last name
Provider First Name SAMIR
Individual professional first name
Provider Gender M
The provider's gender if the provider is a person.

Medical School Information

Medical School Name ILLINOIS COLLEGE OF OPTOMETRY AT CHICAGO
Individual professional's medical school
Graduation Year 1992
Individual professional's medical school graduation year
Primary Specialty OPTOMETRY
Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information

Line 1 Street Address 2821 W PARKER RD
Group Practice or individual's line 1 address
Line 2 Street Address SUITE 1
Group Practice or individual's line 2 address
City PLANO
Group Practice or individual's city
State TX
Group Practice or individual's state
Zip Code 750237949
Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information

Professional Accepts Medicare Assignment Y

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