Physician Compare National (NPI:1205903242)

HEALTHCARE PROVIDER: ABUL H SHIRAZI 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	1205903242
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	5698850527
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20080317000331
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	SHIRAZI
	Individual professional last name
Provider First Name	ABUL
	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	1981
	Individual professional's medical school graduation year
Primary Specialty	PSYCHIATRY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	9849 MELVIN AVE
	Group Practice or individual's line 1 address
City	NORTHRIDGE
	Group Practice or individual's city
State	CA
	Group Practice or individual's state
Zip Code	913241636
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	050704
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	MISSION COMMUNITY HOSPITAL
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	050755
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	SHERMAN OAKS HOSPITAL
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	050116
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	NORTHRIDGE HOSPITAL MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 3
Hospital Affiliation CCN 4	050158
	Medicare CCN of hospital where individual professional provides service 4
Hospital Affiliation LBN 4	ENCINO HOSPITAL MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 4
Professional Accepts Medicare Assignment	Y