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Physician Compare National (NPI:1699180844)

HEALTHCARE PROVIDER: PHANI AKELLA 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 1699180844
Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID 5294046926
Unique individual clinician ID assigned by PECOS
Professional Enrollment ID I20171120000803
Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name AKELLA
Individual professional last name
Provider First Name PHANI
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 2009
Individual professional's medical school graduation year
Primary Specialty HOSPITALIST
Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information

Organization Legal Name COGENT HEALTHCARE OF TEXAS, PA
Legal name of the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Group Practice PAC ID 8628076924
Unique Group Practice ID assigned by PECOS to the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Number of Group Practice members 164
Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address 3330 MASONIC DR
Group Practice or individual's line 1 address
City ALEXANDRIA
Group Practice or individual's city
State LA
Group Practice or individual's state
Zip Code 713013841
Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information

Hospital Affiliation CCN 1 190019
Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1 CHRISTUS ST FRANCES CABRINI HOSPITAL
Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2 190007
Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2 NATCHITOCHES REGIONAL MEDICAL CENTER
Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3 190145
Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3 LASALLE GENERAL HOSPITAL
Legal business name of hospital where individual professional provides service 3
Professional Accepts Medicare Assignment Y

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