Physician Compare National (NPI:1598920357)

HEALTHCARE PROVIDER: RAVIN BATUK TALATI 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	1598920357
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	0143498212
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20120501000740
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	TALATI
	Individual professional last name
Provider First Name	RAVIN
	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	2008
	Individual professional's medical school graduation year
Primary Specialty	GENERAL PRACTICE
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	1070 HISTORIC HWY 441 D-E
	Group Practice or individual's line 1 address
City	DEMOREST
	Group Practice or individual's city
State	GA
	Group Practice or individual's state
Zip Code	30535
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	110041
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	HABERSHAM COUNTY MEDICAL CTR
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	110032
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	STEPHENS COUNTY HOSPITAL
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	110029
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	NORTHEAST GEORGIA MEDICAL CENTER, INC
	Legal business name of hospital where individual professional provides service 3
Professional Accepts Medicare Assignment	Y