Physician Compare National (NPI:1689808479)

HEALTHCARE PROVIDER: SMITHA MANTHA DPM

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

Individual Professional Information
NPI	1689808479
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	3870735848
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20130805000525
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	MANTHA
	Individual professional last name
Provider First Name	SMITHA
	Individual professional first name
Provider Gender	F
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	BARRY UNIVERSITY SCHOOL OF PODIATRIC MEDICINE
	Individual professional's medical school
Graduation Year	2009
	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	12950 E FWY
	Group Practice or individual's line 1 address
City	HOUSTON
	Group Practice or individual's city
State	TX
	Group Practice or individual's state
Zip Code	770155710
	Group Practice or individual's zip code (9 digits when available)
Phone Number	8328351422
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	M