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Physician Compare National (NPI:1487633889)

HEALTHCARE PROVIDER: K. SREEKUMARAN NAIR 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 1487633889
Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID 1557404993
Unique individual clinician ID assigned by PECOS
Professional Enrollment ID I20100206000236
Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name NAIR
Individual professional last name
Provider First Name K SREEKUMARAN
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 1973
Individual professional's medical school graduation year
Primary Specialty ENDOCRINOLOGY
Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information

Organization Legal Name MAYO CLINIC
Legal name of the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Group Practice PAC ID 6507778255
Unique Group Practice ID assigned by PECOS to the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Number of Group Practice members 3919
Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address 200 1ST ST SW
Group Practice or individual's line 1 address
City ROCHESTER
Group Practice or individual's city
State MN
Group Practice or individual's state
Zip Code 559050001
Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information

Professional Accepts Medicare Assignment Y

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