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Physician Compare National (NPI:1699830901)

HEALTHCARE PROVIDER: SATYA SANATAN SHREENIVAS 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 1699830901
Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID 9234255415
Unique individual clinician ID assigned by PECOS
Professional Enrollment ID I20141217002089
Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name SHREENIVAS
Individual professional last name
Provider First Name SATYA
Individual professional first name
Provider Middle Name S
Individual professional middle name
Provider Gender M
The provider's gender if the provider is a person.

Medical School Information

Medical School Name UNIVERSITY OF ALABAMA SCHOOL OF MEDICINE
Individual professional's medical school
Graduation Year 2006
Individual professional's medical school graduation year
Primary Specialty INTERVENTIONAL CARDIOLOGY
Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1 CARDIOVASCULAR DISEASE (CARDIOLOGY)
First secondary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 2 INTERNAL MEDICINE
Second secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties CARDIOVASCULAR DISEASE (CARDIOLOGY), INTERNAL MEDICINE
All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information

Organization Legal Name THE CHRIST HOSPITAL CARDIOVASCULAR ASSOCIATES LLC
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 1658449715
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 83
Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address 2123 AUBURN AVE
Group Practice or individual's line 1 address
Line 2 Street Address SUITE 136
Group Practice or individual's line 2 address
City CINCINNATI
Group Practice or individual's city
State OH
Group Practice or individual's state
Zip Code 452192906
Group Practice or individual's zip code (9 digits when available)
Phone Number 5137218881
Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information

Hospital Affiliation CCN 1 360163
Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1 CHRIST HOSPITAL
Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment Y

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