Physician Compare National (NPI:1013086305)

HEALTHCARE PROVIDER: MONTHER HAFEZ AL-HALAWANI 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	1013086305
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	9436341492
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20101008000293
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	AL-HALAWANI
	Individual professional last name
Provider First Name	MONTHER
	Individual professional first name
Provider Middle Name	HAFEZ
	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	1985
	Individual professional's medical school graduation year
Primary Specialty	ENDOCRINOLOGY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	502 CORNER DR
	Group Practice or individual's line 1 address
City	BRANDON
	Group Practice or individual's city
State	FL
	Group Practice or individual's state
Zip Code	335115724
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	100075
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	ST JOSEPHS HOSPITAL
	Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment	Y