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Physician Compare National (NPI:1548430754)

HEALTHCARE PROVIDER: DANI SIROP BIDROS 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 1548430754
Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID 0446316277
Unique individual clinician ID assigned by PECOS
Professional Enrollment ID I20170817002521
Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name BIDROS
Individual professional last name
Provider First Name DANI
Individual professional first name
Provider Middle Name S
Individual professional middle name
Provider Gender M
The provider's gender if the provider is a person.

Medical School Information

Medical School Name LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN NEW ORLEANS
Individual professional's medical school
Graduation Year 2004
Individual professional's medical school graduation year
Primary Specialty NEUROSURGERY
Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information

Line 1 Street Address 2222 GREENHOUSE RD
Group Practice or individual's line 1 address
Line 2 Street Address SUITE 1100A
Group Practice or individual's line 2 address
City HOUSTON
Group Practice or individual's city
State TX
Group Practice or individual's state
Zip Code 770847287
Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information

Hospital Affiliation CCN 1 450820
Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1 HOUSTON METHODIST SUGARLAND HOSPITAL
Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2 670077
Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2 HOUSTON METHODIST WEST HOSPITAL
Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3 450775
Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3 KINGWOOD MEDICAL CENTER
Legal business name of hospital where individual professional provides service 3
Hospital Affiliation CCN 4 450644
Medicare CCN of hospital where individual professional provides service 4
Hospital Affiliation LBN 4 WEST HOUSTON MEDICAL CENTER
Legal business name of hospital where individual professional provides service 4
Hospital Affiliation CCN 5 450370
Medicare CCN of hospital where individual professional provides service 5
Hospital Affiliation LBN 5 COLUMBUS COMMUNITY HOSPITAL
Legal business name of hospital where individual professional provides service 5
Professional Accepts Medicare Assignment Y

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