Physician Compare National (NPI:1346376621)

HEALTHCARE PROVIDER: M. RAMZY SALEH HAJMURAD 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	1346376621
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	4183805807
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20110228000738
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	HAJMURAD
	Individual professional last name
Provider First Name	M. RAMZY
	Individual professional first name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	OHIO MEDICAL UNIVERSITY
	Individual professional's medical school
Graduation Year	1979
	Individual professional's medical school graduation year
Primary Specialty	UROLOGY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	1810 MULKEY RD
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 205
	Group Practice or individual's line 2 address
City	AUSTELL
	Group Practice or individual's city
State	GA
	Group Practice or individual's state
Zip Code	301061150
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	110143
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	WELLSTAR COBB HOSPITAL
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	110115
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	WELLSTAR ATLANTA MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	110184
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	WELLSTAR DOUGLAS HOSPITAL
	Legal business name of hospital where individual professional provides service 3
Professional Accepts Medicare Assignment	Y