Physician Compare National (NPI:1174523872)

HEALTHCARE PROVIDER: PEYMAN PAKZABAN MDPA

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

Individual Professional Information
NPI	1174523872
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	1951409853
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20080620000104
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	PAKZABAN
	Individual professional last name
Provider First Name	PEYMAN
	Individual professional first name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	BAYLOR COLLEGE OF MEDICINE
	Individual professional's medical school
Graduation Year	1989
	Individual professional's medical school graduation year
Primary Specialty	NEUROSURGERY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	3801 VISTA RD
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 440
	Group Practice or individual's line 2 address
City	PASADENA
	Group Practice or individual's city
State	TX
	Group Practice or individual's state
Zip Code	775042162
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	450097
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	BAYSHORE MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	670031
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	CHI ST LUKE'S PATIENTS MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	450184
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	MEMORIAL HERMANN HOSPITAL SYSTEM
	Legal business name of hospital where individual professional provides service 3
Professional Accepts Medicare Assignment	Y