Physician Compare National (NPI:1841260767)

HEALTHCARE PROVIDER: SHYAMAL SARKAR 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	1841260767
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	8628042371
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20040819001442
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	SARKAR
	Individual professional last name
Provider First Name	SHYAMAL
	Individual professional first name
Provider Gender	M
	The provider's gender if the provider is a person.
Provider Credential Text	MD
	The abbreviations for professional degrees or credentials used or held by the provider, if the provider is an individual. Examples are MD, DDS, CSW, CNA, AA, NP, RNA, or PSY. These credential designations will not be verified by NPS.

Medical School Information
Medical School Name	OTHER
	Individual professional's medical school
Graduation Year	1980
	Individual professional's medical school graduation year
Primary Specialty	NEPHROLOGY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	170 MURRAY GUARD DR
	Group Practice or individual's line 1 address
City	JACKSON
	Group Practice or individual's city
State	TN
	Group Practice or individual's state
Zip Code	383053609
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	440002
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	JACKSON-MADISON COUNTY GENERAL HOSPITAL
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	440008
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	HENDERSON COUNTY COMMUNITY HOSPITAL
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	441320
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation CCN 4	440130
	Medicare CCN of hospital where individual professional provides service 4
Hospital Affiliation LBN 4	BAPTIST MEMORIAL HOSPITAL UNION CITY
	Legal business name of hospital where individual professional provides service 4
Professional Accepts Medicare Assignment	Y