Physician Compare National (NPI:1356309405)

HEALTHCARE PROVIDER: MUHAMMED TAHIR JAVED 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	1356309405
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	8426945239
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20101018001175
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	JAVED
	Individual professional last name
Provider First Name	MUHAMMED
	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	1986
	Individual professional's medical school graduation year
Primary Specialty	NEPHROLOGY
	Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1	INTERNAL MEDICINE
	First secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties	INTERNAL MEDICINE
	All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information
Line 1 Street Address	623 MAIN ST
	Group Practice or individual's line 1 address
City	OLEAN
	Group Practice or individual's city
State	NY
	Group Practice or individual's state
Zip Code	147601532
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	330103
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	OLEAN GENERAL HOSPITAL
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	391313
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	CHARLES COLE MEMORIAL HOSPITAL
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	330096
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	JONES MEMORIAL HOSPITAL
	Legal business name of hospital where individual professional provides service 3
Hospital Affiliation CCN 4	390104
	Medicare CCN of hospital where individual professional provides service 4
Hospital Affiliation LBN 4	KANE COMMUNITY HOSPITAL
	Legal business name of hospital where individual professional provides service 4
Professional Accepts Medicare Assignment	Y