Physician Compare National (NPI:1740409333)

HEALTHCARE PROVIDER: IRFAN AHMED 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	1740409333
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	2668528944
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20180824000981
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	AHMED
	Individual professional last name
Provider First Name	IRFAN
	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	1995
	Individual professional's medical school graduation year
Primary Specialty	PSYCHIATRY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Organization Legal Name	HENRY FORD WYANDOTTE HOSPITAL
	Legal name of the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Group Practice PAC ID	2264334499
	Unique Group Practice ID assigned by PECOS to the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Number of Group Practice members	113
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	2333 BIDDLE AVE
	Group Practice or individual's line 1 address
City	WYANDOTTE
	Group Practice or individual's city
State	MI
	Group Practice or individual's state
Zip Code	481924668
	Group Practice or individual's zip code (9 digits when available)
Phone Number	7342467732
	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	360066
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	ST RITA'S MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	230146
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	HENRY FORD WYANDOTTE HOSPITAL
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	360089
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	MERCY TIFFIN HOSPITAL
	Legal business name of hospital where individual professional provides service 3
Hospital Affiliation CCN 4	360095
	Medicare CCN of hospital where individual professional provides service 4
Hospital Affiliation LBN 4	BLANCHARD VALLEY REGIONAL HEALTH CENTER
	Legal business name of hospital where individual professional provides service 4
Professional Accepts Medicare Assignment	Y