Physician Compare National (NPI:1548312390)

HEALTHCARE PROVIDER: ABDUL KADIR 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	1548312390
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	7214113406
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20110524000639
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	KADIR
	Individual professional last name
Provider First Name	ABDUL
	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	1988
	Individual professional's medical school graduation year
Primary Specialty	NEUROLOGY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	750 W 5TH STR
	Group Practice or individual's line 1 address
City	ODESSA
	Group Practice or individual's city
State	TX
	Group Practice or individual's state
Zip Code	797634207
	Group Practice or individual's zip code (9 digits when available)
Phone Number	4323323300
	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	450132
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	MEDICAL CENTER HOSPITAL
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	450661
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	ODESSA REGIONAL MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	450133
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	MIDLAND MEMORIAL HOSPITAL
	Legal business name of hospital where individual professional provides service 3
Hospital Affiliation CCN 4	451373
	Medicare CCN of hospital where individual professional provides service 4
Hospital Affiliation LBN 4	WARD MEMORIAL HOSPITAL
	Legal business name of hospital where individual professional provides service 4
Professional Accepts Medicare Assignment	Y