Physician Compare National (NPI:1588615520)

HEALTHCARE PROVIDER: SAMANAICKER RANGANATHAN 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	1588615520
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	7214063429
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20100326000792
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	RANGANATHAN
	Individual professional last name
Provider First Name	SAMANAICKER
	Individual professional first 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	1975
	Individual professional's medical school graduation year
Primary Specialty	INTERNAL MEDICINE
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	1250 W STATE RD
	Group Practice or individual's line 1 address
Line 2 Street Address	434 SUITE 1004
	Group Practice or individual's line 2 address
City	LONGWOOD
	Group Practice or individual's city
State	FL
	Group Practice or individual's state
Zip Code	327504969
	Group Practice or individual's zip code (9 digits when available)
Phone Number	4072608227
	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	100007
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	FLORIDA HOSPITAL
	Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment	Y