Physician Compare National (NPI:1699719138)

HEALTHCARE PROVIDER: ELIAS GHANDOUR 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	1699719138
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	7416047790
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20100916000984
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	GHANDOUR
	Individual professional last name
Provider First Name	ELIAS
	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	1981
	Individual professional's medical school graduation year
Primary Specialty	GASTROENTEROLOGY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	3814 22ND PLACE
	Group Practice or individual's line 1 address
City	LUBBOCK
	Group Practice or individual's city
State	TX
	Group Practice or individual's state
Zip Code	794101118
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	450040
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	COVENANT MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	450162
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	GRACE MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	450876
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	LUBBOCK HEART HOSPITAL LP
	Legal business name of hospital where individual professional provides service 3
Hospital Affiliation CCN 4	453306
	Medicare CCN of hospital where individual professional provides service 4
Hospital Affiliation LBN 4	COVENANT CHILDRENS HOSPITAL
	Legal business name of hospital where individual professional provides service 4
Hospital Affiliation CCN 5	320063
	Medicare CCN of hospital where individual professional provides service 5
Hospital Affiliation LBN 5	CARLSBAD MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 5
Professional Accepts Medicare Assignment	Y

Physician Compare National (NPI:1699719138)

HEALTHCARE PROVIDER: ELIAS GHANDOUR M.D.

Individual Professional Information

Medical School Information

Practice Information

Hospital(s) Affiliation Information