Physician Compare National (NPI:1487687752)

HEALTHCARE PROVIDER: SHEELA S PRAHALAD 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	1487687752
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	2466589254
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20100428000041
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	PRAHALAD
	Individual professional last name
Provider First Name	SHEELA
	Individual professional first name
Provider Gender	F
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	OTHER
	Individual professional's medical school
Graduation Year	1981
	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	319 N STATE ST
	Group Practice or individual's line 1 address
City	CLARKS SUMMIT
	Group Practice or individual's city
State	PA
	Group Practice or individual's state
Zip Code	184111059
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	390001
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	GEISINGER-COMMUNITY MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	390137
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	WILKES-BARRE GENERAL HOSPITAL
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	390119
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	MOSES TAYLOR HOSPITAL
	Legal business name of hospital where individual professional provides service 3
Hospital Affiliation CCN 4	390237
	Medicare CCN of hospital where individual professional provides service 4
Hospital Affiliation LBN 4	REGIONAL HOSPITAL OF SCRANTON
	Legal business name of hospital where individual professional provides service 4
Hospital Affiliation CCN 5	390270
	Medicare CCN of hospital where individual professional provides service 5
Hospital Affiliation LBN 5	GEISINGER WYOMING VALLEY MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 5
Professional Accepts Medicare Assignment	Y

Physician Compare National (NPI:1487687752)

HEALTHCARE PROVIDER: SHEELA S PRAHALAD M.D.

Individual Professional Information

Medical School Information

Practice Information

Hospital(s) Affiliation Information