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Physician Compare National (NPI:1518182062)

HEALTHCARE PROVIDER: CHE ABDULSHAIK FAJARDO PLANG PT, DPT

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information

NPI 1518182062
Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID 2163728585
Unique individual clinician ID assigned by PECOS
Professional Enrollment ID I20160311000420
Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name PLANG
Individual professional last name
Provider First Name CHE ABDULSHAIK
Individual professional first name
Provider Middle Name F
Individual professional middle 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 1996
Individual professional's medical school graduation year
Primary Specialty PHYSICAL THERAPY
Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information

Line 1 Street Address 9109 MENDENHALL MALL RD
Group Practice or individual's line 1 address
Line 2 Street Address SUITE 5K
Group Practice or individual's line 2 address
City JUNEAU
Group Practice or individual's city
State AK
Group Practice or individual's state
Zip Code 998017136
Group Practice or individual's zip code (9 digits when available)
Phone Number 9079576940
Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information

Professional Accepts Medicare Assignment Y

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