Physician Compare National (NPI:1376625913)

HEALTHCARE PROVIDER: MOHAMMED T BAILONY 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	1376625913
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	6507034956
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20110729000493
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	BAILONY
	Individual professional last name
Provider First Name	MOHAMMED
	Individual professional first name
Provider Middle Name	T
	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	1975
	Individual professional's medical school graduation year
Primary Specialty	FAMILY MEDICINE
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	655 EUCLID AVE
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 205
	Group Practice or individual's line 2 address
City	NATIONAL CITY
	Group Practice or individual's city
State	CA
	Group Practice or individual's state
Zip Code	919502967
	Group Practice or individual's zip code (9 digits when available)
Phone Number	6194701945
	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