Physician Compare National (NPI:1477537819)

HEALTHCARE PROVIDER: SREEROOP SEN 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	1477537819
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	3173609070
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20100819000826
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	SEN
	Individual professional last name
Provider First Name	SREEROOP
	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	1985
	Individual professional's medical school graduation year
Primary Specialty	INTERNAL MEDICINE
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	77 W GIBSON ST
	Group Practice or individual's line 1 address
City	HARTWELL
	Group Practice or individual's city
State	GA
	Group Practice or individual's state
Zip Code	306431845
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	110074
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	PIEDMONT ATHENS REGIONAL MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	110027
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	TY COBB REGIONAL MEDICAL CENTER, LLC
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	110040
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	NORTHRIDGE MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 3
Hospital Affiliation CCN 4	110006
	Medicare CCN of hospital where individual professional provides service 4
Hospital Affiliation LBN 4	ST MARY'S HOSPITAL
	Legal business name of hospital where individual professional provides service 4
Hospital Affiliation CCN 5	420027
	Medicare CCN of hospital where individual professional provides service 5
Hospital Affiliation LBN 5	ANMED HEALTH
	Legal business name of hospital where individual professional provides service 5
Professional Accepts Medicare Assignment	Y

Physician Compare National (NPI:1477537819)

HEALTHCARE PROVIDER: SREEROOP SEN M.D.

Individual Professional Information

Medical School Information

Practice Information

Hospital(s) Affiliation Information