Physician Compare National (NPI:1700947231)

HEALTHCARE PROVIDER: KASHYAP PATEL 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	1700947231
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	5092859983
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20110103000096
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	PATEL
	Individual professional last name
Provider First Name	KASHYAP
	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	2002
	Individual professional's medical school graduation year
Primary Specialty	NEUROLOGY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	1497 FAIR RD
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 201
	Group Practice or individual's line 2 address
City	STATESBORO
	Group Practice or individual's city
State	GA
	Group Practice or individual's state
Zip Code	304580824
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	110075
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	EAST GEORGIA REGIONAL MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	110109
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	EMANUEL MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 2
Professional Accepts Medicare Assignment	Y