Physician Compare National (NPI:1770542276)

HEALTHCARE PROVIDER: GURUMURTHAIAH V NAGABHUSHANA 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	1770542276
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	3678654043
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20080111000444
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	NAGABHUSHANA
	Individual professional last name
Provider First Name	GURUMURTHAIAH
	Individual professional first name
Provider Middle Name	V
	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	1967
	Individual professional's medical school graduation year
Primary Specialty	UROLOGY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	470 CANISTEO ST
	Group Practice or individual's line 1 address
City	HORNELL
	Group Practice or individual's city
State	NY
	Group Practice or individual's state
Zip Code	148439768
	Group Practice or individual's zip code (9 digits when available)
Phone Number	6073244414
	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	391313
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	CHARLES COLE MEMORIAL HOSPITAL
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	330151
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	ST JAMES MERCY HOSPITAL
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	330096
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	JONES MEMORIAL HOSPITAL
	Legal business name of hospital where individual professional provides service 3
Hospital Affiliation CCN 4	330238
	Medicare CCN of hospital where individual professional provides service 4
Hospital Affiliation LBN 4	NICHOLAS H NOYES MEMORIAL HOSPITAL
	Legal business name of hospital where individual professional provides service 4
Professional Accepts Medicare Assignment	Y