Physician Compare National (NPI:1972745701)

HEALTHCARE PROVIDER: NAVDEEP KAUR 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	1972745701
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	3779632195
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20121112000652
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	KAUR
	Individual professional last name
Provider First Name	NAVDEEP
	Individual professional first name
Provider Gender	F
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	OTHER
	Individual professional's medical school
Graduation Year	2003
	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
Organization Legal Name	VIVAA PLLC
	Legal name of the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Group Practice PAC ID	6103127824
	Unique Group Practice ID assigned by PECOS to the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Number of Group Practice members	2
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	1301 4TH AVE NW
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 302
	Group Practice or individual's line 2 address
City	ISSAQUAH
	Group Practice or individual's city
State	WA
	Group Practice or individual's state
Zip Code	980279371
	Group Practice or individual's zip code (9 digits when available)
Phone Number	2063059963
	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	500008
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	UNIVERSITY OF WASHINGTON MEDICAL CTR
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	500051
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	OVERLAKE HOSPITAL MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 2
Professional Accepts Medicare Assignment	Y