Physician Compare National (NPI:1780904094)

HEALTHCARE PROVIDER: SUDEEP DHILLON 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	1780904094
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	5496940645
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20130924000167
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	DHILLON
	Individual professional last name
Provider First Name	SUDEEP
	Individual professional first name
Provider Middle Name	S
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	PENNSYLVANIA STATE UNIVERSITY COLLEGE OF MEDICINE
	Individual professional's medical school
Graduation Year	2007
	Individual professional's medical school graduation year
Primary Specialty	ENDOCRINOLOGY
	Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1	INTERNAL MEDICINE
	First secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties	INTERNAL MEDICINE
	All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information
Line 1 Street Address	2 CAPITAL WAY
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 315
	Group Practice or individual's line 2 address
City	PENNINGTON
	Group Practice or individual's city
State	NJ
	Group Practice or individual's state
Zip Code	085342521
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	310044
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	CAPITAL HEALTH MEDICAL CENTER - HOPEWELL
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	310092
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	CAPITAL HEALTH REGIONAL MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 2
Professional Accepts Medicare Assignment	Y