Physician Compare National (NPI:1467751008)

HEALTHCARE PROVIDER: AMIR ALLAK 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	1467751008
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	8527295484
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20171011003913
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	ALLAK
	Individual professional last name
Provider First Name	AMIR
	Individual professional first name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	UNIVERSITY OF VIRGINIA SCHOOL OF MEDICINE
	Individual professional's medical school
Graduation Year	2010
	Individual professional's medical school graduation year
Primary Specialty	OTOLARYNGOLOGY
	Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1	PLASTIC AND RECONSTRUCTIVE SURGERY
	First secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties	PLASTIC AND RECONSTRUCTIVE SURGERY
	All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information
Organization Legal Name	SOUTH VALLEY EAR NOSE AND THROAT ASSOCIATES PLLC
	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	9335125855
	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	7
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	3584 W 9000
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 311
	Group Practice or individual's line 2 address
City	WEST JORDAN
	Group Practice or individual's city
State	UT
	Group Practice or individual's state
Zip Code	840884775
	Group Practice or individual's zip code (9 digits when available)
Phone Number	8015668304
	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