Physician Compare National (NPI:1376714469)

HEALTHCARE PROVIDER: WASEEM MIR 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	1376714469
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	5991883159
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20080429000344
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	MIR
	Individual professional last name
Provider First Name	WASEEM
	Individual professional first name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	STATE UNIVERSITY OF NEW YORK DOWNSTATE MEDICAL CENTER
	Individual professional's medical school
Graduation Year	2003
	Individual professional's medical school graduation year
Primary Specialty	RHEUMATOLOGY
	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	4200 SUNRISE HWY
	Group Practice or individual's line 1 address
City	MASSAPEQUA
	Group Practice or individual's city
State	NY
	Group Practice or individual's state
Zip Code	117585311
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y