Physician Compare National (NPI:1558517193)

HEALTHCARE PROVIDER: MADHURI DEVDHAR 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	1558517193
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	0345408878
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20131230000463
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	DEVDHAR
	Individual professional last name
Provider First Name	MADHURI
	Individual professional first name
Provider Middle Name	RAO
	Individual professional middle name
Provider Gender	F
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	OTHER
	Individual professional's medical school
Graduation Year	2003
	Individual professional's medical school graduation year
Primary Specialty	ENDOCRINOLOGY
	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	1615 HOSPITAL PKWY
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 202
	Group Practice or individual's line 2 address
City	BEDFORD
	Group Practice or individual's city
State	TX
	Group Practice or individual's state
Zip Code	760225935
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	450639
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	TEXAS HEALTH HARRIS METHODIST HURST-EULESS-BEDFORD
	Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment	Y