Physician Compare National (NPI:1003980186)

HEALTHCARE PROVIDER: SAYYAH AJLOUNI 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	1003980186
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	3274717475
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20110413000397
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	AJLOUNI
	Individual professional last name
Provider First Name	SAYYAH
	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	1983
	Individual professional's medical school graduation year
Primary Specialty	INTERNAL MEDICINE
	Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1	CARDIOVASCULAR DISEASE (CARDIOLOGY)
	First secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties	CARDIOVASCULAR DISEASE (CARDIOLOGY)
	All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information
Line 1 Street Address	2358 LAKEVIEW DR
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 180
	Group Practice or individual's line 2 address
City	BEAVERCREEK
	Group Practice or individual's city
State	OH
	Group Practice or individual's state
Zip Code	454312778
	Group Practice or individual's zip code (9 digits when available)
Phone Number	9374279154
	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	360058
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	MERCER COUNTY JOINT TOWNSHIP COMMUNITY HOSPITAL
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	360239
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	KETTERING MEDICAL CENTER - SYCAMORE
	Legal business name of hospital where individual professional provides service 2
Professional Accepts Medicare Assignment	Y