Physician Compare National (NPI:1144470840)

HEALTHCARE PROVIDER: SYED ABUZAR WASEEM AHMED

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

Individual Professional Information
NPI	1144470840
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	8527292796
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20131002000354
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	AHMED
	Individual professional last name
Provider First Name	SYED
	Individual professional first name
Provider Middle Name	A W
	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	2001
	Individual professional's medical school graduation year
Primary Specialty	INTERNAL MEDICINE
	Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1	NEPHROLOGY
	First secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties	NEPHROLOGY
	All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information
Line 1 Street Address	142 OLD MILL RD
	Group Practice or individual's line 1 address
City	LAGRANGE
	Group Practice or individual's city
State	GA
	Group Practice or individual's state
Zip Code	302416704
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	110016
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	WEST GEORGIA MEDICAL CENTER, INC
	Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment	Y