Physician Compare National (NPI:1659573640)

HEALTHCARE PROVIDER: PAVAN TELANG 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	1659573640
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	0446325443
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20130815000155
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	TELANG
	Individual professional last name
Provider First Name	PAVAN
	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	2000
	Individual professional's medical school graduation year
Primary Specialty	ANESTHESIOLOGY
	Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1	PAIN MANAGEMENT
	First secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties	PAIN MANAGEMENT
	All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information
Line 1 Street Address	541 W COLLEGE ST
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 2000
	Group Practice or individual's line 2 address
City	FLORENCE
	Group Practice or individual's city
State	AL
	Group Practice or individual's state
Zip Code	356305323
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	010006
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	ELIZA COFFEE MEMORIAL HOSPITAL
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	010157
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	SHOALS HOSPITAL
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	010019
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	HELEN KELLER HOSPITAL
	Legal business name of hospital where individual professional provides service 3
Hospital Affiliation CCN 4	010158
	Medicare CCN of hospital where individual professional provides service 4
Hospital Affiliation LBN 4	RUSSELLVILLE HOSPITAL
	Legal business name of hospital where individual professional provides service 4
Professional Accepts Medicare Assignment	Y