Physician Compare National (NPI:1114989118)

HEALTHCARE PROVIDER: SAMIULLAH HABIB SAYYID 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	1114989118
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	7416037668
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20071231000296
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	SAYYID
	Individual professional last name
Provider First Name	SAMIULLAH
	Individual professional first name
Provider Middle Name	HABIB
	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	1970
	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	1085 PROFESSIONAL DR
	Group Practice or individual's line 1 address
Line 2 Street Address	G2
	Group Practice or individual's line 2 address
City	FLINT
	Group Practice or individual's city
State	MI
	Group Practice or individual's state
Zip Code	485323636
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	230141
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	MCLAREN FLINT
	Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment	Y