Physician Compare National (NPI:1174568208)

HEALTHCARE PROVIDER: USMAN ALAM 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	1174568208
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	8820147440
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20090601000083
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	ALAM
	Individual professional last name
Provider First Name	USMAN
	Individual professional first 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	1988
	Individual professional's medical school graduation year
Primary Specialty	CARDIOVASCULAR DISEASE (CARDIOLOGY)
	Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1	INTERNAL MEDICINE
	First secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties	INTERNAL MEDICINE
	All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information
Line 1 Street Address	611 E PRUDHOMME ST
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 3
	Group Practice or individual's line 2 address
City	OPELOUSAS
	Group Practice or individual's city
State	LA
	Group Practice or individual's state
Zip Code	705706458
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	190017
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	OPELOUSAS GENERAL HEALTH SYSTEM
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	190102
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	OUR LADY OF LOURDES REGIONAL MEDICAL CENTER, INC
	Legal business name of hospital where individual professional provides service 2
Professional Accepts Medicare Assignment	Y