Physician Compare National (NPI:1295848679)

HEALTHCARE PROVIDER: AHAMED J JIFFRY 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	1295848679
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	3577636000
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20080716000853
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	JIFFRY
	Individual professional last name
Provider First Name	AHAMED
	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	1980
	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	399 E HIGHLAND AVE
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 312
	Group Practice or individual's line 2 address
City	SAN BERNARDINO
	Group Practice or individual's city
State	CA
	Group Practice or individual's state
Zip Code	924043855
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	050129
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	ST BERNARDINE MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment	Y