Physician Compare National (NPI:1528156551)

HEALTHCARE PROVIDER: ROBERT ZAVEN DADEKIAN 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	1528156551
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	2466575055
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20110412000304
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	DADEKIAN
	Individual professional last name
Provider First Name	ROBERT
	Individual professional first name
Provider Middle Name	ZAVEN
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	ALBANY MEDICAL COLLEGE OF UNION UNIVERSITY
	Individual professional's medical school
Graduation Year	1985
	Individual professional's medical school graduation year
Primary Specialty	RHEUMATOLOGY
	Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1	INTERNAL MEDICINE
	First secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties	INTERNAL MEDICINE
	All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information
Line 1 Street Address	1302 PARK BLVD
	Group Practice or individual's line 1 address
City	TROY
	Group Practice or individual's city
State	NY
	Group Practice or individual's state
Zip Code	121801403
	Group Practice or individual's zip code (9 digits when available)
Phone Number	5182740044
	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	330180
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	SAMARITAN HOSPITAL
	Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment	Y