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Physician Compare National (NPI:1912387556)

HEALTHCARE PROVIDER: MINYING GU 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 1912387556
Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID 6305156845
Unique individual clinician ID assigned by PECOS
Professional Enrollment ID I20180626002727
Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name GU
Individual professional last name
Provider First Name MINYING
Individual professional first name
Provider Gender F
The provider's gender if the provider is a person.

Medical School Information

Medical School Name SAINT LOUIS UNIVERSITY SCHOOL OF MEDICINE
Individual professional's medical school
Graduation Year 2015
Individual professional's medical school graduation year
Primary Specialty FAMILY MEDICINE
Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information

Line 1 Street Address 1611 HEADWAY CIR
Group Practice or individual's line 1 address
Line 2 Street Address BLDG 2
Group Practice or individual's line 2 address
City AUSTIN
Group Practice or individual's city
State TX
Group Practice or individual's state
Zip Code 787545165
Group Practice or individual's zip code (9 digits when available)
Phone Number 5124543795
Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information

Professional Accepts Medicare Assignment Y

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