Physician Compare National (NPI:1023077609)

HEALTHCARE PROVIDER: HAZAR DAHHAN 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	1023077609
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	7517031206
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20080930000129
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	DAHHAN
	Individual professional last name
Provider First Name	HAZAR
	Individual professional first name
Provider Gender	F
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	OTHER
	Individual professional's medical school
Primary Specialty	CARDIOVASCULAR DISEASE (CARDIOLOGY)
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	201 MAIN ST
	Group Practice or individual's line 1 address
City	MANCHESTER
	Group Practice or individual's city
State	CT
	Group Practice or individual's state
Zip Code	060423540
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	070027
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	MANCHESTER MEMORIAL HOSPITAL
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	070002
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	ST FRANCIS HOSPITAL & MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	070012
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	ROCKVILLE GENERAL HOSPITAL
	Legal business name of hospital where individual professional provides service 3
Hospital Affiliation CCN 4	070029
	Medicare CCN of hospital where individual professional provides service 4
Hospital Affiliation LBN 4	BRISTOL HOSPITAL
	Legal business name of hospital where individual professional provides service 4
Professional Accepts Medicare Assignment	Y