Physician Compare National (NPI:1710933791)

HEALTHCARE PROVIDER: ABDULHOSEIN NAVID ADHAM 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	1710933791
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	1850457540
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20090505000480
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	ADHAM
	Individual professional last name
Provider First Name	ABDULHOSEIN
	Individual professional first name
Provider Middle Name	N
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	HOWARD UNIVERSITY COLLEGE OF MEDICINE
	Individual professional's medical school
Graduation Year	1972
	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	4467 OLD BRANCH AVE
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 201
	Group Practice or individual's line 2 address
City	TEMPLE HILLS
	Group Practice or individual's city
State	MD
	Group Practice or individual's state
Zip Code	207481854
	Group Practice or individual's zip code (9 digits when available)
Phone Number	3018998900
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	210062
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	MEDSTAR SOUTHERN MARYLAND HOSPITAL CENTER
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	210060
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	FORT WASHINGTON HOSPITAL
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	210051
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	DOCTORS' COMMUNITY HOSPITAL
	Legal business name of hospital where individual professional provides service 3
Professional Accepts Medicare Assignment	Y