Physician Compare National (NPI:1609867381)

HEALTHCARE PROVIDER: TAREK ABOU-GHAZALA 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	1609867381
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	7618950817
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20040609000884
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	ABOU GHAZALA
	Individual professional last name
Provider First Name	TAREK
	Individual professional first name
Provider Gender	M
	The provider's gender if the provider is a person.
Provider Credential Text	MD
	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	OTHER
	Individual professional's medical school
Graduation Year	1991
	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	CARDIOVASCULAR DISEASE (CARDIOLOGY)
	First secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties	CARDIOVASCULAR DISEASE (CARDIOLOGY)
	All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information
Line 1 Street Address	12330 PINECREST RD
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 125
	Group Practice or individual's line 2 address
City	RESTON
	Group Practice or individual's city
State	VA
	Group Practice or individual's state
Zip Code	201911655
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	490145
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	STONESPRINGS HOSPITAL CENTER
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	490107
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	RESTON HOSPITAL CENTER
	Legal business name of hospital where individual professional provides service 2
Professional Accepts Medicare Assignment	Y