Physician Compare National (NPI:1952597627)

HEALTHCARE PROVIDER: E DUANE CARMALT 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	1952597627
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	2264526300
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20070919000746
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	CARMALT
	Individual professional last name
Provider First Name	E DUANE
	Individual professional first name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	DUKE UNIVERSITY SCHOOL OF MEDICINE
	Individual professional's medical school
Graduation Year	1969
	Individual professional's medical school graduation year
Primary Specialty	INTERNAL MEDICINE
	Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1	ADDICTION MEDICINE
	First secondary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 2	INFECTIOUS DISEASE
	Second secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties	ADDICTION MEDICINE, INFECTIOUS DISEASE
	All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information
Line 1 Street Address	5620 WILBUR AVE
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 307
	Group Practice or individual's line 2 address
City	TARZANA
	Group Practice or individual's city
State	CA
	Group Practice or individual's state
Zip Code	913561311
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	050704
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	MISSION COMMUNITY HOSPITAL
	Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment	Y