Physician Compare National (NPI:1619964020)

HEALTHCARE PROVIDER: BANDANA NARANG CHAWLA 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	1619964020
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	7719932821
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20050322000050
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	CHAWLA
	Individual professional last name
Provider First Name	BANDANA
	Individual professional first name
Provider Middle Name	N
	Individual professional middle name
Provider Gender	F
	The provider's gender if the provider is a person.
Provider Credential Text	MD
	The abbreviations for professional degrees or credentials used or held by the provider, if the provider is an individual. Examples are MD, DDS, CSW, CNA, AA, NP, RNA, or PSY. These credential designations will not be verified by NPS.

Medical School Information
Medical School Name	UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL SCHOOL AT DALLAS
	Individual professional's medical school
Graduation Year	1998
	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	4500 BISSONNET ST
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 355
	Group Practice or individual's line 2 address
City	BELLAIRE
	Group Practice or individual's city
State	TX
	Group Practice or individual's state
Zip Code	774013124
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	450184
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	MEMORIAL HERMANN HOSPITAL SYSTEM
	Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment	Y