Physician Compare National (NPI:1740500289)

HEALTHCARE PROVIDER: AMANDEEP KAUR 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	1740500289
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	0648423723
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20140326000639
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	KAUR
	Individual professional last name
Provider First Name	AMANDEEP
	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	2004
	Individual professional's medical school graduation year
Primary Specialty	FAMILY MEDICINE
	Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1	UNDERSEA AND HYPERBARIC MEDICINE
	First secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties	UNDERSEA AND HYPERBARIC MEDICINE
	All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information
Line 1 Street Address	1855 CHEYENNE DR
	Group Practice or individual's line 1 address
City	CARROLLTON
	Group Practice or individual's city
State	TX
	Group Practice or individual's state
Zip Code	750102201
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	450079
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	BAYLOR SCOTT & WHITE MEDICAL CENTER AT IRVING
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	450730
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	BAYLOR SCOTT AND WHITE MEDICAL CENTER CARROLLTON
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	450860
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	MEMORIAL HERMANN SUGAR LAND SURGICAL HOSPITAL
	Legal business name of hospital where individual professional provides service 3
Hospital Affiliation CCN 4	670005
	Medicare CCN of hospital where individual professional provides service 4
Hospital Affiliation LBN 4	MEMORIAL HERMANN SURGICAL HOSPITAL KINGWOOD
	Legal business name of hospital where individual professional provides service 4
Professional Accepts Medicare Assignment	Y