Physician Compare National (NPI:1376516500)

HEALTHCARE PROVIDER:

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

Individual Professional Information
NPI	1376516500
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	4284892290
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20120222000596
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	NIAZ
	Individual professional last name
Provider First Name	MOHAMMAD
	Individual professional first name
Provider Middle Name	K
	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	1979
	Individual professional's medical school graduation year
Primary Specialty	INTERNAL MEDICINE
	Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1	HEMATOLOGY/ONCOLOGY
	First secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties	HEMATOLOGY/ONCOLOGY
	All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information
Line 1 Street Address	16410 NORTHERN BLVD
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 206
	Group Practice or individual's line 2 address
City	FLUSHING
	Group Practice or individual's city
State	NY
	Group Practice or individual's state
Zip Code	113582668
	Group Practice or individual's zip code (9 digits when available)
Phone Number	7183212940
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y