Physician Compare National (NPI:1588637714)

HEALTHCARE PROVIDER: TASNEEM TINA MAMDANI O.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	1588637714
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	0648282459
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20060619000069
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	MAMDANI
	Individual professional last name
Provider First Name	TASNEEM
	Individual professional first name
Provider Middle Name	TINA
	Individual professional middle name
Provider Gender	F
	The provider's gender if the provider is a person.
Provider Credential Text	OD
	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	INDIANA UNIVERSITY - SCHOOL OF OPTOMETRY
	Individual professional's medical school
Graduation Year	1996
	Individual professional's medical school graduation year
Primary Specialty	OPTOMETRY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	6001 WINTER HAVEN NW
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE K
	Group Practice or individual's line 2 address
City	ALBUQUERQUE
	Group Practice or individual's city
State	NM
	Group Practice or individual's state
Zip Code	871201746
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y