Physician Compare National (NPI:1639213606)

HEALTHCARE PROVIDER: DIVYANG UMAKANT PATEL D.P.M.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1639213606
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	1557414661
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20090806000207
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	PATEL
	Individual professional last name
Provider First Name	DIVYANG
	Individual professional first name
Provider Middle Name	U
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	CALIFORNIA SCHOOL OF PODIATRIC MEDICINE
	Individual professional's medical school
Graduation Year	1990
	Individual professional's medical school graduation year
Primary Specialty	PODIATRY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	33883 ALVARADO NILES RD
	Group Practice or individual's line 1 address
City	UNION CITY
	Group Practice or individual's city
State	CA
	Group Practice or individual's state
Zip Code	945874349
	Group Practice or individual's zip code (9 digits when available)
Phone Number	5104893800
	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	050289
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	SETON MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	050195
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	WASHINGTON HOSPITAL
	Legal business name of hospital where individual professional provides service 2
Professional Accepts Medicare Assignment	Y