Physician Compare National (NPI:1275586992)

HEALTHCARE PROVIDER: REZA SHAFEE 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	1275586992
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	9436193679
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20050617000491
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	SHAFEE
	Individual professional last name
Provider First Name	REZA
	Individual professional first 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	TEXAS TECH UNIVERSITY HEALTH SCIENCE CENTER SCHOOL OF MEDICINE
	Individual professional's medical school
Graduation Year	1998
	Individual professional's medical school graduation year
Primary Specialty	OBSTETRICS/GYNECOLOGY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	2010 E 1ST ST
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 130
	Group Practice or individual's line 2 address
City	SANTA ANA
	Group Practice or individual's city
State	CA
	Group Practice or individual's state
Zip Code	927054086
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y