Physician Compare National (NPI:1114926433)

HEALTHCARE PROVIDER: NATAN RYAN SHAOULIAN 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	1114926433
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	9931190964
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20040519001093
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	SHAOULIAN
	Individual professional last name
Provider First Name	NATAN
	Individual professional first name
Provider Middle Name	RYAN
	Individual professional middle 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	LOYOLA UNIVERSITY OF CHICAGO, STRITCH SCHOOL OF MEDICINE
	Individual professional's medical school
Graduation Year	1998
	Individual professional's medical school graduation year
Primary Specialty	NEUROLOGY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	4408 SEPULVEDA BLVD
	Group Practice or individual's line 1 address
City	CULVER CITY
	Group Practice or individual's city
State	CA
	Group Practice or individual's state
Zip Code	902304801
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y