Physician Compare National (NPI:1528383833)

HEALTHCARE PROVIDER: AKBAR KHAN D.O.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1528383833
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	6204150576
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20150114001101
	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	AKBAR
	Individual professional first 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	2009
	Individual professional's medical school graduation year
Primary Specialty	PHYSICAL MEDICINE AND REHABILITATION
	Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1	INTERVENTIONAL PAIN MANAGEMENT
	First secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties	INTERVENTIONAL PAIN MANAGEMENT
	All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information
Line 1 Street Address	1321 COLLEGE ST
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE D
	Group Practice or individual's line 2 address
City	WOODLAND
	Group Practice or individual's city
State	CA
	Group Practice or individual's state
Zip Code	956954706
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	051325
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	MENDOCINO COAST DISTRICT HOSPITAL
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	050127
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	WOODLAND MEMORIAL HOSPITAL
	Legal business name of hospital where individual professional provides service 2
Professional Accepts Medicare Assignment	Y