Physician Compare National (NPI:1578826723)

HEALTHCARE PROVIDER: GURBIR JOHAL 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	1578826723
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	7618270570
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20170316000263
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	JOHAL
	Individual professional last name
Provider First Name	GURBIR
	Individual professional first name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	RUTGERS NEW JERSEY MEDICAL SCHOOL
	Individual professional's medical school
Graduation Year	2011
	Individual professional's medical school graduation year
Primary Specialty	ANESTHESIOLOGY
	Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1	PAIN MANAGEMENT
	First secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties	PAIN MANAGEMENT
	All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information
Organization Legal Name	PRESTIGE PAIN CENTERS PC
	Legal name of the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Group Practice PAC ID	1557635430
	Unique Group Practice ID assigned by PECOS to the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Number of Group Practice members	2
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	1813 OAK TREE RD
	Group Practice or individual's line 1 address
City	EDISON
	Group Practice or individual's city
State	NJ
	Group Practice or individual's state
Zip Code	088202740
	Group Practice or individual's zip code (9 digits when available)
Phone Number	7323062879
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y