Physician Compare National (NPI:1720237498)

HEALTHCARE PROVIDER: SYLAZA KANTAMNENI 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	1720237498
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	3274693874
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20141113000395
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	KANTAMNENI
	Individual professional last name
Provider First Name	SYLAZA
	Individual professional first name
Provider Gender	F
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	OTHER
	Individual professional's medical school
Graduation Year	2001
	Individual professional's medical school graduation year
Primary Specialty	INTERNAL MEDICINE
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Organization Legal Name	POPPY DRIVE INPATIENT SERVICES PLLC
	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	2163652009
	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	10
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	231 S COLLINS RD
	Group Practice or individual's line 1 address
City	SUNNYVALE
	Group Practice or individual's city
State	TX
	Group Practice or individual's state
Zip Code	751824624
	Group Practice or individual's zip code (9 digits when available)
Phone Number	9728923000
	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	450840
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	TEXAS HEALTH PRESBYTERIAN HOSPITAL ALLEN
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	670060
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	BAYLOR SCOTT AND WHITE MEDICAL CENTER SUNNYVALE
	Legal business name of hospital where individual professional provides service 2
Professional Accepts Medicare Assignment	Y