Physician Compare National (NPI:1811979727)

HEALTHCARE PROVIDER: SRIKRISHIN A ROHRA 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	1811979727
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	6507948304
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20080515000391
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	ROHRA
	Individual professional last name
Provider First Name	SRIKRISHIN
	Individual professional first name
Provider Middle Name	A
	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	1981
	Individual professional's medical school graduation year
Primary Specialty	CARDIOVASCULAR DISEASE (CARDIOLOGY)
	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	2540 E ST
	Group Practice or individual's line 1 address
City	CONCORD
	Group Practice or individual's city
State	CA
	Group Practice or individual's state
Zip Code	945201906
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	050283
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	STANFORD HEALTH CARE - VALLEYCARE
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	050496
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	JOHN MUIR MEDICAL CENTER - CONCORD CAMPUS
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	050689
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	SAN RAMON REGIONAL MEDICAL CTR
	Legal business name of hospital where individual professional provides service 3
Professional Accepts Medicare Assignment	M