Physician Compare National (NPI:1730165259)

HEALTHCARE PROVIDER: MOHAMMAD YUNUS 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	1730165259
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	0547330003
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20111216000508
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	YUNUS
	Individual professional last name
Provider First Name	MOHAMMAD
	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	1970
	Individual professional's medical school graduation year
Primary Specialty	INTERNAL MEDICINE
	Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1	CARDIOVASCULAR DISEASE (CARDIOLOGY)
	First secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties	CARDIOVASCULAR DISEASE (CARDIOLOGY)
	All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information
Line 1 Street Address	404 E HWY 90
	Group Practice or individual's line 1 address
Line 2 Street Address	MOHAMMAD YUNUS MD
	Group Practice or individual's line 2 address
City	BONIFAY
	Group Practice or individual's city
State	FL
	Group Practice or individual's state
Zip Code	324252731
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	101307
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	DOCTORS MEMORIAL HOSPITAL
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	010062
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	WIREGRASS MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	101308
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	NORTHWEST FLORIDA COMMUNITY HOSPITAL
	Legal business name of hospital where individual professional provides service 3
Hospital Affiliation CCN 4	010055
	Medicare CCN of hospital where individual professional provides service 4
Hospital Affiliation LBN 4	FLOWERS HOSPITAL
	Legal business name of hospital where individual professional provides service 4
Professional Accepts Medicare Assignment	Y