Physician Compare National (NPI:1538246061)

HEALTHCARE PROVIDER: GUL CHABLANI MD

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

Individual Professional Information
NPI	1538246061
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	8628260478
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20101012000408
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	CHABLANI
	Individual professional last name
Provider First Name	GUL
	Individual professional first name
Provider Middle Name	G
	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	1981
	Individual professional's medical school graduation year
Primary Specialty	INTERNAL MEDICINE
	Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1	GERIATRIC MEDICINE
	First secondary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 2	PEDIATRIC MEDICINE
	Second secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties	GERIATRIC MEDICINE, PEDIATRIC MEDICINE
	All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information
Line 1 Street Address	19785 CRYSTAL ROCK DR
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 310
	Group Practice or individual's line 2 address
City	GERMANTOWN
	Group Practice or individual's city
State	MD
	Group Practice or individual's state
Zip Code	208744732
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y