Physician Compare National (NPI:1093935975)

HEALTHCARE PROVIDER: ALIM MIRZA LADHA 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	1093935975
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	7911171541
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20111117000200
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	LADHA
	Individual professional last name
Provider First Name	ALIM
	Individual professional first name
Provider Middle Name	MIRZA
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	WASHINGTON UNIVERSITY SCHOOL OF MEDICINE
	Individual professional's medical school
Graduation Year	2003
	Individual professional's medical school graduation year
Primary Specialty	NEUROSURGERY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	8050 E HWY 191
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 203
	Group Practice or individual's line 2 address
City	ODESSA
	Group Practice or individual's city
State	TX
	Group Practice or individual's state
Zip Code	797658615
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	450133
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	MIDLAND MEMORIAL HOSPITAL
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	450132
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	MEDICAL CENTER HOSPITAL
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	450661
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	ODESSA REGIONAL MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 3
Professional Accepts Medicare Assignment	Y