Physician Compare National (NPI:1093704868)

HEALTHCARE PROVIDER: AKHTAR HUSAIN 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	1093704868
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	6406753177
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20070308000580
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	HUSAIN
	Individual professional last name
Provider First Name	AKHTAR
	Individual professional first name
Provider Gender	M
	The provider's gender if the provider is a person.
Provider Credential Text	MD
	The abbreviations for professional degrees or credentials used or held by the provider, if the provider is an individual. Examples are MD, DDS, CSW, CNA, AA, NP, RNA, or PSY. These credential designations will not be verified by NPS.

Medical School Information
Medical School Name	OTHER
	Individual professional's medical school
Graduation Year	1978
	Individual professional's medical school graduation year
Primary Specialty	GENERAL SURGERY
	Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1	SURGICAL ONCOLOGY
	First secondary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 2	VASCULAR SURGERY
	Second secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties	SURGICAL ONCOLOGY, VASCULAR SURGERY
	All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information
Line 1 Street Address	14720 KING RD
	Group Practice or individual's line 1 address
Line 2 Street Address	B
	Group Practice or individual's line 2 address
City	RIVERVIEW
	Group Practice or individual's city
State	MI
	Group Practice or individual's state
Zip Code	481937946
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	230146
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	HENRY FORD WYANDOTTE HOSPITAL
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	230020
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	BEAUMONT HOSPITAL - DEARBORN
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	230270
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	BEAUMONT HOSPITAL - TAYLOR
	Legal business name of hospital where individual professional provides service 3
Professional Accepts Medicare Assignment	Y