Physician Compare National (NPI:1528025525)

HEALTHCARE PROVIDER: ABIODUN O KUKU 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	1528025525
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	8224152665
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20100908000005
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	KUKU
	Individual professional last name
Provider First Name	ABIODUN
	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	EMERGENCY MEDICINE
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	706 ROSS ST
	Group Practice or individual's line 1 address
City	OAK GROVE
	Group Practice or individual's city
State	LA
	Group Practice or individual's state
Zip Code	712639798
	Group Practice or individual's zip code (9 digits when available)
Phone Number	3184284964
	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	190081
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	WEST CARROLL MEMORIAL HOSPITAL
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	190125
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	ST FRANCIS MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 2
Professional Accepts Medicare Assignment	Y