Physician Compare National (NPI:1043201635)

HEALTHCARE PROVIDER: HOSSEIN YAZDANI 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	1043201635
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	6507957347
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20070809000515
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	YAZDANI
	Individual professional last name
Provider First Name	HOSSEIN
	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	1973
	Individual professional's medical school graduation year
Primary Specialty	EMERGENCY MEDICINE
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	105 S KANSAS
	Group Practice or individual's line 1 address
City	ANAHUAC
	Group Practice or individual's city
State	TX
	Group Practice or individual's state
Zip Code	775141703
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	451320
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	BAYSIDE COMMUNITY HOSPITAL
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	450803
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	DOCTORS HOSPITAL TIDWELL
	Legal business name of hospital where individual professional provides service 2
Professional Accepts Medicare Assignment	M