Physician Compare National (NPI:1861789992)

HEALTHCARE PROVIDER: HARSH TRIKAMBHAI DANGARIA 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	1861789992
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	3870712672
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20151125001898
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	DANGARIA
	Individual professional last name
Provider First Name	HARSH
	Individual professional first 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	2010
	Individual professional's medical school graduation year
Primary Specialty	PHYSICAL MEDICINE AND REHABILITATION
	Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1	PAIN MANAGEMENT
	First secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties	PAIN MANAGEMENT
	All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information
Line 1 Street Address	100 LAKESHORE DR
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE B
	Group Practice or individual's line 2 address
City	SAINT MARYS
	Group Practice or individual's city
State	GA
	Group Practice or individual's state
Zip Code	315583859
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	110146
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	SOUTHEAST GEORGIA HEALTH SYSTEM -- CAMDEN CAMPUS
	Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment	Y