Physician Compare National (NPI:1669706578)

HEALTHCARE PROVIDER: SHAHZAD ZAKI 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	1669706578
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	3870636004
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20130925000400
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	ZAKI
	Individual professional last name
Provider First Name	SHAHZAD
	Individual professional first 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	2003
	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
Line 1 Street Address	1257 S BROAD ST
	Group Practice or individual's line 1 address
Line 2 Street Address	UNIT 4
	Group Practice or individual's line 2 address
City	WALLINGFORD
	Group Practice or individual's city
State	CT
	Group Practice or individual's state
Zip Code	064921737
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	070031
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	GRIFFIN HOSPITAL
	Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment	Y