Physician Compare National (NPI:1770754087)

HEALTHCARE PROVIDER: DAHLIA BU 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	1770754087
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	5698948412
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20111024000075
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	BU
	Individual professional last name
Provider First Name	DAHLIA
	Individual professional first name
Provider Gender	F
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	UNIVERSITY OF CALIFORNIA, SAN FRANCISCO SCHOOL OF MEDICINE
	Individual professional's medical school
Graduation Year	1978
	Individual professional's medical school graduation year
Primary Specialty	OBSTETRICS/GYNECOLOGY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	5525 DEWEY DR
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 108
	Group Practice or individual's line 2 address
City	FAIR OAKS
	Group Practice or individual's city
State	CA
	Group Practice or individual's state
Zip Code	956283130
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y