Physician Compare National (NPI:1790913945)

HEALTHCARE PROVIDER: MOHIT NONE SRIVASTAVA 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	1790913945
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	7618140294
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20200302001198
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	SRIVASTAVA
	Individual professional last name
Provider First Name	MOHIT
	Individual professional first name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	NORTHEASTERN OHIO UNIVERSITY COLLEGE OF MEDICINE
	Individual professional's medical school
Graduation Year	2004
	Individual professional's medical school graduation year
Primary Specialty	VASCULAR SURGERY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Organization Legal Name	MONONGALIA COUNTY GENERAL HOSPITAL COMPANY
	Legal name of the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Group Practice PAC ID	9638073380
	Unique Group Practice ID assigned by PECOS to the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Number of Group Practice members	129
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	2501 DEEP CREEK DR
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 200
	Group Practice or individual's line 2 address
City	MC HENRY
	Group Practice or individual's city
State	MD
	Group Practice or individual's state
Zip Code	215411713
	Group Practice or individual's zip code (9 digits when available)
Phone Number	3045998802
	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	510024
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	MONONGALIA COUNTY GENERAL HOSPITAL
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	510038
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	STONEWALL JACKSON MEMORIAL HOSPITAL
	Legal business name of hospital where individual professional provides service 2
Professional Accepts Medicare Assignment	Y