Physician Compare National (NPI:1073561122)

HEALTHCARE PROVIDER: TARIQ MUHAMMAD 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	1073561122
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	3779775721
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20101008000183
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	MUHAMMAD
	Individual professional last name
Provider First Name	TARIQ
	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	1988
	Individual professional's medical school graduation year
Primary Specialty	NEPHROLOGY
	Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1	INTERNAL MEDICINE
	First secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties	INTERNAL MEDICINE
	All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information
Line 1 Street Address	439 W WALNUT ST
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 201
	Group Practice or individual's line 2 address
City	DANVILLE
	Group Practice or individual's city
State	KY
	Group Practice or individual's state
Zip Code	404221849
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	180048
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	EPHRAIM MCDOWELL REGIONAL MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	181315
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	EPHRAIM MCDOWELL FORT LOGAN HOSPITAL
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	181302
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	THE JAMES B. HAGGIN MEMORIAL HOSPITAL
	Legal business name of hospital where individual professional provides service 3
Hospital Affiliation CCN 4	181309
	Medicare CCN of hospital where individual professional provides service 4
Hospital Affiliation LBN 4	CASEY COUNTY HOSPITAL
	Legal business name of hospital where individual professional provides service 4
Hospital Affiliation CCN 5	180024
	Medicare CCN of hospital where individual professional provides service 5
Hospital Affiliation LBN 5	SPRING VIEW HOSPITAL
	Legal business name of hospital where individual professional provides service 5
Professional Accepts Medicare Assignment	Y

Physician Compare National (NPI:1073561122)

HEALTHCARE PROVIDER: TARIQ MUHAMMAD M.D.

Individual Professional Information

Medical School Information

Practice Information

Hospital(s) Affiliation Information