Physician Compare National (NPI:1659416485)

HEALTHCARE PROVIDER: FAKHRI M. SALEM 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	1659416485
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	0840336111
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20090930000556
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	SALEM
	Individual professional last name
Provider First Name	FAKHRI
	Individual professional first name
Provider Middle Name	M
	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	1975
	Individual professional's medical school graduation year
Primary Specialty	CARDIAC SURGERY
	Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1	THORACIC SURGERY
	First secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties	THORACIC SURGERY
	All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information
Line 1 Street Address	550 WASHINGTON ST
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 641
	Group Practice or individual's line 2 address
City	SAN DIEGO
	Group Practice or individual's city
State	CA
	Group Practice or individual's state
Zip Code	921032229
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	050077
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	SCRIPPS MERCY HOSPITAL
	Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment	Y