Physician Compare National (NPI:1346207461)

HEALTHCARE PROVIDER: BASSAM J ZAKHOUR MD PA

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

Individual Professional Information
NPI	1346207461
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	0446324537
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20091230000633
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	ZAKHOUR
	Individual professional last name
Provider First Name	BASSAM
	Individual professional first name
Provider Middle Name	J
	Individual professional middle 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	1978
	Individual professional's medical school graduation year
Primary Specialty	GENERAL SURGERY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	929 N GALLOWAY
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 210
	Group Practice or individual's line 2 address
City	MESQUITE
	Group Practice or individual's city
State	TX
	Group Practice or individual's state
Zip Code	751492491
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	670060
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	BAYLOR SCOTT AND WHITE MEDICAL CENTER SUNNYVALE
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	450688
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	DALLAS REGIONAL MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	450678
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	BAYLOR SCOTT & WHITE MEDICAL CENTER-WHITE ROCK
	Legal business name of hospital where individual professional provides service 3
Professional Accepts Medicare Assignment	Y