Physician Compare National (NPI:1396992145)

HEALTHCARE PROVIDER: MOHAMMAD ASHFAQ OD

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

Individual Professional Information
NPI	1396992145
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	5193881381
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20111205000810
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	ASHFAQ
	Individual professional last name
Provider First Name	MOHAMMAD
	Individual professional first name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	NEW ENGLAND COLLEGE OF OPTOMETRY
	Individual professional's medical school
Graduation Year	2008
	Individual professional's medical school graduation year
Primary Specialty	OPTOMETRY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	14130 NOBLEWOOD PLZ
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 105
	Group Practice or individual's line 2 address
City	WOODBRIDGE
	Group Practice or individual's city
State	VA
	Group Practice or individual's state
Zip Code	221931465
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y