Physician Compare National (NPI:1598873226)

HEALTHCARE PROVIDER: FERAS J GHOSHEH 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	1598873226
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	5496906497
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20150806011881
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	GHOSHEH
	Individual professional last name
Provider First Name	FERAS
	Individual professional first name
Provider Middle Name	J
	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	2004
	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	1200 TYLER AVE
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE A
	Group Practice or individual's line 2 address
City	RADFORD
	Group Practice or individual's city
State	VA
	Group Practice or individual's state
Zip Code	241413800
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	490110
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	LEWISGALE HOSPITAL MONTGOMERY
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	490116
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	LEWISGALE HOSPITAL PULASKI
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	490042
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	CARILION NEW RIVER VALLEY MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 3
Hospital Affiliation CCN 4	490048
	Medicare CCN of hospital where individual professional provides service 4
Hospital Affiliation LBN 4	LEWISGALE MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 4
Hospital Affiliation CCN 5	510046
	Medicare CCN of hospital where individual professional provides service 5
Hospital Affiliation LBN 5	PRINCETON COMMUNITY HOSPITAL
	Legal business name of hospital where individual professional provides service 5
Professional Accepts Medicare Assignment	Y

Physician Compare National (NPI:1598873226)

HEALTHCARE PROVIDER: FERAS J GHOSHEH M.D.

Individual Professional Information

Medical School Information

Practice Information

Hospital(s) Affiliation Information