Physician Compare National (NPI:1639205826)

HEALTHCARE PROVIDER: SUSAN MAJLESSI 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	1639205826
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	7719061993
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20080226000912
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	MAJLESSI
	Individual professional last name
Provider First Name	SUSAN
	Individual professional first name
Provider Gender	F
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	GEORGETOWN UNIVERSITY SCHOOL OF MEDICINE
	Individual professional's medical school
Graduation Year	2003
	Individual professional's medical school graduation year
Primary Specialty	OPHTHALMOLOGY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	9010 LORTON STATION BLVD
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 250
	Group Practice or individual's line 2 address
City	LORTON
	Group Practice or individual's city
State	VA
	Group Practice or individual's state
Zip Code	220794798
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y