Physician Compare National (NPI:1295174860)

HEALTHCARE PROVIDER: IGOR GARY SHLIFER 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	1295174860
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	0042451320
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20160817001772
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	SHLIFER
	Individual professional last name
Provider First Name	IGOR
	Individual professional first name
Provider Middle Name	GARY
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	ARIZONA COLLEGE OF OSTEOPATHIC MEDICINE MID WESTERN UNIVERSITY
	Individual professional's medical school
Graduation Year	2013
	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	20301 VENTURA BLVD
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 210
	Group Practice or individual's line 2 address
City	WOODLAND HILLS
	Group Practice or individual's city
State	CA
	Group Practice or individual's state
Zip Code	913640934
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y