Physician Compare National (NPI:1114954195)

HEALTHCARE PROVIDER: SHAWN RABBANI DPM

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1114954195
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	3173736253
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20110323000319
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	RABBANI
	Individual professional last name
Provider First Name	SHAWN
	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	NEW YORK COLLEGE OF PODIATRIC MEDICINE
	Individual professional's medical school
Graduation Year	1992
	Individual professional's medical school graduation year
Primary Specialty	PODIATRY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	18909 SHERMAN WAY
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE B
	Group Practice or individual's line 2 address
City	RESEDA
	Group Practice or individual's city
State	CA
	Group Practice or individual's state
Zip Code	913357700
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y