Physician Compare National (NPI:1003967977)

HEALTHCARE PROVIDER: IQBAL AKHTAR YAR KHAN 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	1003967977
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	3476640848
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20101220000366
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	KHAN
	Individual professional last name
Provider First Name	IQBAL
	Individual professional first name
Provider Middle Name	A
	Individual professional middle 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	1987
	Individual professional's medical school graduation year
Primary Specialty	NEUROLOGY
	Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1	SLEEP MEDICINE
	First secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties	SLEEP MEDICINE
	All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information
Line 1 Street Address	1513 UNION AVE
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 2800
	Group Practice or individual's line 2 address
City	MOBERLY
	Group Practice or individual's city
State	MO
	Group Practice or individual's state
Zip Code	652709403
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	260022
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	NORTHEAST REGIONAL MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	260074
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	MOBERLY REGIONAL MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	260064
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	SSM HEALTH ST. MARY'S HOSPITAL-AUDRAIN
	Legal business name of hospital where individual professional provides service 3
Hospital Affiliation CCN 4	261307
	Medicare CCN of hospital where individual professional provides service 4
Hospital Affiliation LBN 4	PERSHING MEMORIAL HOSPITAL
	Legal business name of hospital where individual professional provides service 4
Professional Accepts Medicare Assignment	Y