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Physician Compare National (NPI:1790997724)

HEALTHCARE PROVIDER: VRINDA MAHAJAN 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 1790997724
Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID 6608902143
Unique individual clinician ID assigned by PECOS
Professional Enrollment ID I20160819001836
Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name MAHAJAN
Individual professional last name
Provider First Name VRINDA
Individual professional first name
Provider Gender F
The provider's gender if the provider is a person.

Medical School Information

Medical School Name OTHER
Individual professional's medical school
Graduation Year 2006
Individual professional's medical school graduation year
Primary Specialty NEPHROLOGY
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

Organization Legal Name MONTGOMERY RENAL ASSOCIATES P.A.
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 0042345464
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 5
Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address 3941 FERRARA DR
Group Practice or individual's line 1 address
City SILVER SPRING
Group Practice or individual's city
State MD
Group Practice or individual's state
Zip Code 209064709
Group Practice or individual's zip code (9 digits when available)
Phone Number 3019425355
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 210057
Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1 ADVENTIST HEALTHCARE SHADY GROVE MEDICAL CENTER
Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2 210018
Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2 MEDSTAR MONTGOMERY MEDICAL CENTER
Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3 210022
Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3 SUBURBAN HOSPITAL
Legal business name of hospital where individual professional provides service 3
Hospital Affiliation CCN 4 210004
Medicare CCN of hospital where individual professional provides service 4
Hospital Affiliation LBN 4 HOLY CROSS HOSPITAL
Legal business name of hospital where individual professional provides service 4
Hospital Affiliation CCN 5 210065
Medicare CCN of hospital where individual professional provides service 5
Hospital Affiliation LBN 5 HOLY CROSS GERMANTOWN HOSPITAL
Legal business name of hospital where individual professional provides service 5
Professional Accepts Medicare Assignment Y

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