Physician Compare National (NPI:1598714263)

HEALTHCARE PROVIDER: NAVJOT K RAKKAR 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	1598714263
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	4789676065
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20110126000164
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	RAKKAR
	Individual professional last name
Provider First Name	NAVJOT
	Individual professional first name
Provider Middle Name	K
	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	1992
	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
Organization Legal Name	WABASH MEDICAL ASSOCIATES P C
	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	0648262915
	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	13927 W GRAND AVE
	Group Practice or individual's line 1 address
Line 2 Street Address	401 DBA SUN CITY WEST INTERNAL MEDICINE
	Group Practice or individual's line 2 address
City	SURPRISE
	Group Practice or individual's city
State	AZ
	Group Practice or individual's state
Zip Code	853742438
	Group Practice or individual's zip code (9 digits when available)
Phone Number	6235446963
	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	030093
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	BANNER DEL E. WEBB MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment	Y