Physician Compare National (NPI:1487600342)

HEALTHCARE PROVIDER: MUHAMMAD AZHER KHAN 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	1487600342
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	6204993207
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20090318000536
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	KHAN
	Individual professional last name
Provider First Name	MUHAMMAD
	Individual professional first name
Provider Middle Name	A
	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	1989
	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
Line 1 Street Address	820 GRAINGER ST
	Group Practice or individual's line 1 address
City	FORT WORTH
	Group Practice or individual's city
State	TX
	Group Practice or individual's state
Zip Code	761043205
	Group Practice or individual's zip code (9 digits when available)
Phone Number	8178109222
	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	450672
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	MEDICAL CITY FORT WORTH
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	450135
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	TEXAS HEALTH HARRIS METHODIST HOSPITAL FORT WORTH
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	450137
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER FORT WORTH
	Legal business name of hospital where individual professional provides service 3
Hospital Affiliation CCN 4	450880
	Medicare CCN of hospital where individual professional provides service 4
Hospital Affiliation LBN 4	BAYLOR SURGICAL HOSPITAL AT FORT WORTH
	Legal business name of hospital where individual professional provides service 4
Professional Accepts Medicare Assignment	Y