Physician Compare National (NPI:1609862135)

HEALTHCARE PROVIDER: B FLORIAN MIRANZADEH DO

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

Individual Professional Information
NPI	1609862135
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	3678522794
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20070621000558
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	MIRANZADEH
	Individual professional last name
Provider First Name	B FLORIAN
	Individual professional first name
Provider Middle Name	FLORIAN
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.
Provider Credential Text	DO
	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	MID WEST MEDICAL COLLEGE
	Individual professional's medical school
Graduation Year	1996
	Individual professional's medical school graduation year
Primary Specialty	FAMILY MEDICINE
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Organization Legal Name	ADVOCATE HEALTH AND HOSPITALS CORPORATION
	Legal name of the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Group Practice PAC ID	7810800935
	Unique Group Practice ID assigned by PECOS to the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Number of Group Practice members	1678
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	4600 N RAVENSWOOD AVE
	Group Practice or individual's line 1 address
City	CHICAGO
	Group Practice or individual's city
State	IL
	Group Practice or individual's state
Zip Code	606404510
	Group Practice or individual's zip code (9 digits when available)
Phone Number	7735617500
	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	140182
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	ADVOCATE ILLINOIS MASONIC MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment	Y