Physician Compare National (NPI:1497840458)

HEALTHCARE PROVIDER: SHAHIN FIROZ SHAIKH 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	1497840458
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	7911050174
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20090805000602
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	SHAIKH
	Individual professional last name
Provider First Name	SHAHIN
	Individual professional first name
Provider Middle Name	F
	Individual professional middle name
Provider Gender	F
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	OTHER
	Individual professional's medical school
Graduation Year	1980
	Individual professional's medical school graduation year
Primary Specialty	PULMONARY DISEASE
	Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1	SLEEP MEDICINE
	First secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties	SLEEP MEDICINE
	All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information
Line 1 Street Address	90 MEDFORD AVE
	Group Practice or individual's line 1 address
City	PATCHOGUE
	Group Practice or individual's city
State	NY
	Group Practice or individual's state
Zip Code	117721202
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	330141
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	BROOKHAVEN MEMORIAL HOSPITAL MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment	Y