Physician Compare National (NPI:1265600795)

HEALTHCARE PROVIDER: EHAB NABIL HANNA MADY D.O.

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

Individual Professional Information
NPI	1265600795
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	6608938428
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20090102000234
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	MADY
	Individual professional last name
Provider First Name	EHAB
	Individual professional first name
Provider Middle Name	N
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	NEW YORK COLLEGE OF OSTEO MEDICINE OF NEW YORK INSTITUTE OF TECHNOLOGY
	Individual professional's medical school
Graduation Year	2004
	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	351 HOSPITAL RD
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 401
	Group Practice or individual's line 2 address
City	NEWPORT BEACH
	Group Practice or individual's city
State	CA
	Group Practice or individual's state
Zip Code	926633506
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	050224
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	HOAG MEMORIAL HOSPITAL PRESBYTERIAN
	Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment	Y