Physician Compare National (NPI:1275602799)

HEALTHCARE PROVIDER: LADAN BAKHTARI 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	1275602799
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	1355424003
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20100922000724
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	BAKHTARI
	Individual professional last name
Provider First Name	LADAN
	Individual professional first name
Provider Gender	F
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	UNIVERSITY OF TEXAS MEDICAL SCHOOL AT SAN ANTONIO
	Individual professional's medical school
Graduation Year	1994
	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	DOCTORS OF INTERNAL MEDICINE PA
	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	5092750620
	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	9
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	5941 DALLAS PKWY
	Group Practice or individual's line 1 address
City	PLANO
	Group Practice or individual's city
State	TX
	Group Practice or individual's state
Zip Code	750939001
	Group Practice or individual's zip code (9 digits when available)
Phone Number	9727584455
	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	670082
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	BAYLOR SCOTT AND WHITE MEDICAL CENTER MCKINNEY
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	450651
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	MEDICAL CITY PLANO
	Legal business name of hospital where individual professional provides service 2
Professional Accepts Medicare Assignment	Y