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Physician Compare National (NPI:1659303824)

HEALTHCARE PROVIDER: SATISKUMAR P PATEL M.D. MBCHB

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

Individual Professional Information

NPI 1659303824
Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID 3173589272
Unique individual clinician ID assigned by PECOS
Professional Enrollment ID I20051116000125
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 SATISKUMAR
Individual professional first name
Provider Middle Name P
Individual professional middle name
Provider Gender M
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 OTHER
Individual professional's medical school
Graduation Year 1994
Individual professional's medical school graduation year
Primary Specialty FAMILY MEDICINE
Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1 EMERGENCY MEDICINE
First secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties EMERGENCY MEDICINE
All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information

Line 1 Street Address 108 A N MAIN ST
Group Practice or individual's line 1 address
City DAYTON
Group Practice or individual's city
State TX
Group Practice or individual's state
Zip Code 775352642
Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information

Hospital Affiliation CCN 1 451375
Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1 LIBERTY DAYTON REGIONAL MEDICAL CENTER
Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2 450424
Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2 HOUSTON METHODIST SAN JACINTO HOSPITAL
Legal business name of hospital where individual professional provides service 2
Professional Accepts Medicare Assignment Y

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