Physician Compare National (NPI:1538229224)

HEALTHCARE PROVIDER: SUHAIL IBRAHIM HAWIT 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	1538229224
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	5294924189
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20110107000209
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	HAWIT
	Individual professional last name
Provider First Name	SUHAIL
	Individual professional first name
Provider Middle Name	I
	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	1974
	Individual professional's medical school graduation year
Primary Specialty	INTERNAL MEDICINE
	Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1	GERIATRIC MEDICINE
	First secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties	GERIATRIC MEDICINE
	All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information
Line 1 Street Address	23961 CALLE DE LA MAGDALENA
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 517
	Group Practice or individual's line 2 address
City	LAGUNA HILLS
	Group Practice or individual's city
State	CA
	Group Practice or individual's state
Zip Code	926537628
	Group Practice or individual's zip code (9 digits when available)
Phone Number	9498304082
	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	050603
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	SADDLEBACK MEMORIAL MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment	Y