Physician Compare National (NPI:1881729622)

HEALTHCARE PROVIDER: NAVARATNASINGAM ANTON CHRISTY MOHANRAJ 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	1881729622
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	2163574591
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20090716000326
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	MOHANRAJ
	Individual professional last name
Provider First Name	NAVARATNASINGAM
	Individual professional first name
Provider Middle Name	A C
	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	1968
	Individual professional's medical school graduation year
Primary Specialty	INTERNAL MEDICINE
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	365 WILLARD AVE
	Group Practice or individual's line 1 address
Line 2 Street Address	2D
	Group Practice or individual's line 2 address
City	NEWINGTON
	Group Practice or individual's city
State	CT
	Group Practice or individual's state
Zip Code	061112316
	Group Practice or individual's zip code (9 digits when available)
Phone Number	8602294183
	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	070035
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	THE HOSPITAL OF CENTRAL CONNECTICUT
	Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment	Y