Physician Compare National (NPI:1750597670)

HEALTHCARE PROVIDER: MONIKA TATARIA 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	1750597670
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	2466620448
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20110718000528
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	TATARIA
	Individual professional last name
Provider First Name	MONIKA
	Individual professional first name
Provider Gender	F
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	WASHINGTON UNIVERSITY SCHOOL OF MEDICINE
	Individual professional's medical school
Graduation Year	2001
	Individual professional's medical school graduation year
Primary Specialty	DIAGNOSTIC RADIOLOGY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	2068 VALLEYDALE RD
	Group Practice or individual's line 1 address
City	HOOVER
	Group Practice or individual's city
State	AL
	Group Practice or individual's state
Zip Code	352442092
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	010033
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	UNIVERSITY OF ALABAMA HOSPITAL
	Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment	Y