Physician Compare National (NPI:1093701591)

HEALTHCARE PROVIDER: SHABBIR S. LAKDAWALA 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	1093701591
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	3274608617
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20080819000547
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	LAKDAWALA
	Individual professional last name
Provider First Name	SHABBIR
	Individual professional first name
Provider Middle Name	S
	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	1973
	Individual professional's medical school graduation year
Primary Specialty	INTERNAL MEDICINE
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	2912 GLENMORE AVE
	Group Practice or individual's line 1 address
City	PITTSBURGH
	Group Practice or individual's city
State	PA
	Group Practice or individual's state
Zip Code	152162042
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	390228
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	ST CLAIR HOSPITAL
	Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment	Y