Physician Compare National (NPI:1740418540)

HEALTHCARE PROVIDER: SUNIL KUMAR REDDY THUMMALA 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	1740418540
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	0042482739
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20110929000762
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	THUMMALA
	Individual professional last name
Provider First Name	SUNIL
	Individual professional first name
Provider Middle Name	KUMAR REDDY
	Individual professional middle 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	2001
	Individual professional's medical school graduation year
Primary Specialty	INTERNAL MEDICINE
	Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1	NEUROLOGY
	First secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties	NEUROLOGY
	All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information
Line 1 Street Address	3146 CLARKSVILLE ST
	Group Practice or individual's line 1 address
City	PARIS
	Group Practice or individual's city
State	TX
	Group Practice or individual's state
Zip Code	754608002
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	450196
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	PARIS REGIONAL MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	371342
	Medicare CCN of hospital where individual professional provides service 2
Professional Accepts Medicare Assignment	Y