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Physician Compare National (NPI:1003850314)

HEALTHCARE PROVIDER: KHALID S SAWAGED DO

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

Individual Professional Information

NPI 1003850314
Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID 0345247425
Unique individual clinician ID assigned by PECOS
Professional Enrollment ID I20061102000392
Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name SAWAGED
Individual professional last name
Provider First Name KHALID
Individual professional first name
Provider Middle Name S
Individual professional middle name
Provider Gender M
The provider's gender if the provider is a person.
Provider Credential Text DO
The abbreviations for professional degrees or credentials used or held by the provider, if the provider is an individual. Examples are MD, DDS, CSW, CNA, AA, NP, RNA, or PSY. These credential designations will not be verified by NPS.

Medical School Information

Medical School Name AT STILL UNIVERSITY OF HEALTH SCIENCES, COLLEGE OF OSTEO MED, KIRKSVILLE
Individual professional's medical school
Graduation Year 1993
Individual professional's medical school graduation year
Primary Specialty OBSTETRICS/GYNECOLOGY
Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information

Line 1 Street Address 671 MOUNT PROSPECT AVE
Group Practice or individual's line 1 address
Line 2 Street Address SUITE 1
Group Practice or individual's line 2 address
City NEWARK
Group Practice or individual's city
State NJ
Group Practice or individual's state
Zip Code 071043109
Group Practice or individual's zip code (9 digits when available)
Phone Number 9734979611
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 310002
Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1 NEWARK BETH ISRAEL MEDICAL CENTER
Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment M

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