Physician Compare National (NPI:1669670535)

HEALTHCARE PROVIDER: AYSE K MOHYUDDIN MD

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

Individual Professional Information
NPI	1669670535
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	7810169018
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20111012000546
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	MOHYUDDIN
	Individual professional last name
Provider First Name	AYSE
	Individual professional first name
Provider Middle Name	KARCA
	Individual professional middle name
Provider Gender	F
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	BRODY SCHOOL OF MEDICINE AT EAST CAROLINA UNIVERSITY
	Individual professional's medical school
Graduation Year	2005
	Individual professional's medical school graduation year
Primary Specialty	ENDOCRINOLOGY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	1090 N CHURCH ST
	Group Practice or individual's line 1 address
Line 2 Street Address	200 HAZLTON PLAZA
	Group Practice or individual's line 2 address
City	HAZLE TOWNSHIP
	Group Practice or individual's city
State	PA
	Group Practice or individual's state
Zip Code	182021480
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	390185
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	LEHIGH VALLEY HOSPITAL - HAZLETON
	Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment	Y