Physician Compare National (NPI:1376993865)

HEALTHCARE PROVIDER: MOHAMAD EL ABDALLAH 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	1376993865
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	1557690757
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20190913001135
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	EL ABDALLAH
	Individual professional last name
Provider First Name	MOHAMAD
	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	2012
	Individual professional's medical school graduation year
Primary Specialty	INTERNAL MEDICINE
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Organization Legal Name	COMPREHENSIVE HOSPITAL CARE PC
	Legal name of the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Group Practice PAC ID	7911034087
	Unique Group Practice ID assigned by PECOS to the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Number of Group Practice members	5
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	23300 ECORSE RD
	Group Practice or individual's line 1 address
City	TAYLOR
	Group Practice or individual's city
State	MI
	Group Practice or individual's state
Zip Code	481801768
	Group Practice or individual's zip code (9 digits when available)
Phone Number	3132919500114
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	370093
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	OU MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	230020
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	BEAUMONT HOSPITAL - DEARBORN
	Legal business name of hospital where individual professional provides service 2
Professional Accepts Medicare Assignment	Y