Physician Compare National (NPI:1447286984)

HEALTHCARE PROVIDER: CHANDRAMOULI CHAKINALA 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	1447286984
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	2163691403
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20110803000358
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	CHAKINALA
	Individual professional last name
Provider First Name	CHANDRAMOULI
	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	1972
	Individual professional's medical school graduation year
Primary Specialty	PULMONARY DISEASE
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	2200 9TH ST
	Group Practice or individual's line 1 address
City	WICHITA FALLS
	Group Practice or individual's city
State	TX
	Group Practice or individual's state
Zip Code	763014029
	Group Practice or individual's zip code (9 digits when available)
Phone Number	9407234134
	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	450010
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	UNITED REGIONAL HEALTH CARE SYSTEM
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	450827
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	KELL WEST REGIONAL HOSPITAL
	Legal business name of hospital where individual professional provides service 2
Professional Accepts Medicare Assignment	Y