Physician Compare National (NPI:1528014925)

HEALTHCARE PROVIDER: LINA SHIHABUDDIN 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	1528014925
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	6103712559
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20040224000519
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	SHIHABUDDIN
	Individual professional last name
Provider First Name	LINA
	Individual professional first name
Provider Middle Name	SAMI
	Individual professional middle name
Provider Gender	F
	The provider's gender if the provider is a person.
Provider Credential Text	MD
	The abbreviations for professional degrees or credentials used or held by the provider, if the provider is an individual. Examples are MD, DDS, CSW, CNA, AA, NP, RNA, or PSY. These credential designations will not be verified by NPS.

Medical School Information
Medical School Name	OTHER
	Individual professional's medical school
Graduation Year	1989
	Individual professional's medical school graduation year
Primary Specialty	GERIATRIC PSYCHIATRY
	Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1	PSYCHIATRY
	First secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties	PSYCHIATRY
	All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information
Line 1 Street Address	1 CLARA MAASS DR
	Group Practice or individual's line 1 address
City	BELLEVILLE
	Group Practice or individual's city
State	NJ
	Group Practice or individual's state
Zip Code	071093550
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y