Physician Compare National (NPI:1962436998)

HEALTHCARE PROVIDER: SARAVANAN KASTHURI 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	1962436998
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	0143383489
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20090713000276
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	KASTHURI
	Individual professional last name
Provider First Name	SARAVANAN
	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	1992
	Individual professional's medical school graduation year
Primary Specialty	INTERVENTIONAL RADIOLOGY
	Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1	DIAGNOSTIC RADIOLOGY
	First secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties	DIAGNOSTIC RADIOLOGY
	All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information
Line 1 Street Address	1341 SPAULDING PARK
	Group Practice or individual's line 1 address
City	RICHLAND
	Group Practice or individual's city
State	WA
	Group Practice or individual's state
Zip Code	993524708
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	500058
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	KADLEC REGIONAL MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	500002
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	PROVIDENCE ST MARY MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	500053
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	TRIOS HEALTH
	Legal business name of hospital where individual professional provides service 3
Hospital Affiliation CCN 4	381325
	Medicare CCN of hospital where individual professional provides service 4
Hospital Affiliation LBN 4	GOOD SHEPHERD MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 4
Hospital Affiliation CCN 5	501337
	Medicare CCN of hospital where individual professional provides service 5
Hospital Affiliation LBN 5	LOURDES MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 5
Professional Accepts Medicare Assignment	Y

Physician Compare National (NPI:1962436998)

HEALTHCARE PROVIDER: SARAVANAN KASTHURI MD

Individual Professional Information

Medical School Information

Practice Information

Hospital(s) Affiliation Information