Physician Compare National (NPI:1225428584)

HEALTHCARE PROVIDER: MUHAMMAD IMRAN MD

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

Individual Professional Information
NPI	1225428584
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	9436464724
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20150814014852
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	IMRAN
	Individual professional last name
Provider First Name	MUHAMMAD
	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	2006
	Individual professional's medical school graduation year
Primary Specialty	INTERNAL MEDICINE
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	7516 W OKLAHOMA AVE
	Group Practice or individual's line 1 address
City	MILWAUKEE
	Group Practice or individual's city
State	WI
	Group Practice or individual's state
Zip Code	532192860
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	360068
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	PROMEDICA TOLEDO HOSPITAL
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	150017
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	LUTHERAN HOSPITAL OF INDIANA
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	520062
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	OCONOMOWOC MEMORIAL HOSPITAL
	Legal business name of hospital where individual professional provides service 3
Hospital Affiliation CCN 4	230197
	Medicare CCN of hospital where individual professional provides service 4
Hospital Affiliation LBN 4	GENESYS REGIONAL MEDICAL CENTER - HEALTH PARK
	Legal business name of hospital where individual professional provides service 4
Hospital Affiliation CCN 5	360003
	Medicare CCN of hospital where individual professional provides service 5
Hospital Affiliation LBN 5	UNIVERSITY OF CINCINNATI MEDICAL CENTER, LLC
	Legal business name of hospital where individual professional provides service 5
Professional Accepts Medicare Assignment	M

Physician Compare National (NPI:1225428584)

HEALTHCARE PROVIDER: MUHAMMAD IMRAN MD

Individual Professional Information

Medical School Information

Practice Information

Hospital(s) Affiliation Information