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Physician Compare National (NPI:1154391738)

HEALTHCARE PROVIDER: HASSAN C VAKIL 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 1154391738
Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID 3577740422
Unique individual clinician ID assigned by PECOS
Professional Enrollment ID I20110602000323
Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name VAKIL
Individual professional last name
Provider First Name HASSAN
Individual professional first name
Provider Middle Name C
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 1958
Individual professional's medical school graduation year
Primary Specialty GENERAL SURGERY
Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1 THORACIC SURGERY
First secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties THORACIC SURGERY
All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information

Line 1 Street Address 1098 W BALTIMORE PIKE
Group Practice or individual's line 1 address
Line 2 Street Address SUITE 3411
Group Practice or individual's line 2 address
City MEDIA
Group Practice or individual's city
State PA
Group Practice or individual's state
Zip Code 190635139
Group Practice or individual's zip code (9 digits when available)
Phone Number 6105654338
Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information

Hospital Affiliation CCN 1 390195
Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1 MAIN LINE HOSPITAL LANKENAU
Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2 390222
Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2 RIDDLE MEMORIAL HOSPITAL
Legal business name of hospital where individual professional provides service 2
Professional Accepts Medicare Assignment Y

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