Physician Compare National (NPI:1528047115)

HEALTHCARE PROVIDER: DILAWAR AJANI 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	1528047115
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	6608843651
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20040922000679
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	AJANI
	Individual professional last name
Provider First Name	DILAWAR
	Individual professional first name
Provider Gender	M
	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	UNIVERSITY OF TEXAS MEDICAL SCHOOL AT HOUSTON
	Individual professional's medical school
Graduation Year	1992
	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	21406 PROVINCIAL BLVD
	Group Practice or individual's line 1 address
City	KATY
	Group Practice or individual's city
State	TX
	Group Practice or individual's state
Zip Code	774507587
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	450184
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	MEMORIAL HERMANN HOSPITAL SYSTEM
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	450848
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	MEMORIAL HERMANN SUGAR LAND HOSPITAL
	Legal business name of hospital where individual professional provides service 2
Professional Accepts Medicare Assignment	M