Physician Compare National (NPI:1003291832)

HEALTHCARE PROVIDER: EDWARD SHIBLI AZAR DPM

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1003291832
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	9537461744
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20161026002275
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	AZAR
	Individual professional last name
Provider First Name	EDWARD
	Individual professional first name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	CALIFORNIA SCHOOL OF PODIATRIC MEDICINE
	Individual professional's medical school
Graduation Year	2012
	Individual professional's medical school graduation year
Primary Specialty	PODIATRY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	9939 MAGNOLIA AVE
	Group Practice or individual's line 1 address
City	RIVERSIDE
	Group Practice or individual's city
State	CA
	Group Practice or individual's state
Zip Code	925033528
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y