Physician Compare National (NPI:1669597076)

HEALTHCARE PROVIDER: SZE KIM PANG 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	1669597076
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	1951444652
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20140814000943
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	PANG
	Individual professional last name
Provider First Name	SZE
	Individual professional first name
Provider Middle Name	KIM
	Individual professional middle name
Provider Gender	F
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	TULANE UNIVERSITY SCHOOL OF MEDICINE
	Individual professional's medical school
Graduation Year	2007
	Individual professional's medical school graduation year
Primary Specialty	FAMILY MEDICINE
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	1435 MONTEREY DR
	Group Practice or individual's line 1 address
City	SANTA FE
	Group Practice or individual's city
State	NM
	Group Practice or individual's state
Zip Code	875053863
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	320090
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	320021
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	PRESBYTERIAN HOSPITAL
	Legal business name of hospital where individual professional provides service 2
Professional Accepts Medicare Assignment	Y