Physician Compare National (NPI:1831299346)

HEALTHCARE PROVIDER: SUJATA RAO GUTTI 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	1831299346
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	9537299912
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20100610001003
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	GUTTI
	Individual professional last name
Provider First Name	SUJATA
	Individual professional first name
Provider Middle Name	R
	Individual professional middle 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	1987
	Individual professional's medical school graduation year
Primary Specialty	NEUROLOGY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	515 N BYPASS RD
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 101
	Group Practice or individual's line 2 address
City	PIKEVILLE
	Group Practice or individual's city
State	KY
	Group Practice or individual's state
Zip Code	415011331
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	180044
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	PIKEVILLE MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	180002
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	WHITESBURG ARH HOSPITAL
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	180078
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	PAUL B HALL REGIONAL MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 3
Professional Accepts Medicare Assignment	Y