Physician Compare National (NPI:1669435889)

HEALTHCARE PROVIDER: GOWRI BALACHANDAR 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	1669435889
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	6709891641
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20101012001246
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	BALACHANDAR
	Individual professional last name
Provider First Name	GOWRI
	Individual professional first name
Provider Gender	F
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	OTHER
	Individual professional's medical school
Graduation Year	1986
	Individual professional's medical school graduation year
Primary Specialty	GASTROENTEROLOGY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	4101 W SPRING CREEK PKWY
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 400
	Group Practice or individual's line 2 address
City	PLANO
	Group Practice or individual's city
State	TX
	Group Practice or individual's state
Zip Code	750245321
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	450651
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	MEDICAL CITY PLANO
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	450771
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	TEXAS HEALTH PRESBYTERIAN HOSPITAL PLANO
	Legal business name of hospital where individual professional provides service 2
Professional Accepts Medicare Assignment	Y