Physician Compare National (NPI:1245329069)

HEALTHCARE PROVIDER: MOHAMMAD AFZAL 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	1245329069
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	0446343412
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20070906000759
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	AFZAL
	Individual professional last name
Provider First Name	MOHAMMAD
	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	1991
	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
Organization Legal Name	MOHAMMAD AFZAL MD INTERNAL MEDICINE LLC
	Legal name of the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Group Practice PAC ID	6709979776
	Unique Group Practice ID assigned by PECOS to the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Number of Group Practice members	2
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	110 HARDIN LN
	Group Practice or individual's line 1 address
Line 2 Street Address	2 B
	Group Practice or individual's line 2 address
City	SOMERSET
	Group Practice or individual's city
State	KY
	Group Practice or individual's state
Zip Code	425033818
	Group Practice or individual's zip code (9 digits when available)
Phone Number	6064510312
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	180132
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	LAKE CUMBERLAND REGIONAL HOSPITAL
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	181321
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	WAYNE COUNTY HOSPITAL
	Legal business name of hospital where individual professional provides service 2
Professional Accepts Medicare Assignment	Y