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Physician Compare National (NPI:1235193087)

HEALTHCARE PROVIDER: SYED IQBAL 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 1235193087
Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID 8820078264
Unique individual clinician ID assigned by PECOS
Professional Enrollment ID I20040724000366
Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name IQBAL
Individual professional last name
Provider First Name SYED
Individual professional first name
Provider Middle Name M
Individual professional middle name
Provider Gender M
The provider's gender if the provider is a person.
Provider Credential Text MD
The abbreviations for professional degrees or credentials used or held by the provider, if the provider is an individual. Examples are MD, DDS, CSW, CNA, AA, NP, RNA, or PSY. These credential designations will not be verified by NPS.

Medical School Information

Medical School Name OTHER
Individual professional's medical school
Graduation Year 1982
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 NUCLEAR MEDICINE
First secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties NUCLEAR MEDICINE
All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information

Line 1 Street Address 105 MAIN ST
Group Practice or individual's line 1 address
City DANSVILLE
Group Practice or individual's city
State NY
Group Practice or individual's state
Zip Code 144371611
Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information

Hospital Affiliation CCN 1 330238
Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1 NICHOLAS H NOYES MEMORIAL HOSPITAL
Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2 330151
Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2 ST JAMES MERCY HOSPITAL
Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3 330285
Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3 STRONG MEMORIAL HOSPITAL
Legal business name of hospital where individual professional provides service 3
Hospital Affiliation CCN 4 330144
Medicare CCN of hospital where individual professional provides service 4
Hospital Affiliation LBN 4 IRA DAVENPORT MEMORIAL HOSPITAL, INC
Legal business name of hospital where individual professional provides service 4
Professional Accepts Medicare Assignment Y

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