Physician Compare National (NPI:1740494178)

HEALTHCARE PROVIDER: HOMAYOON MAHJOOB 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	1740494178
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	6103919741
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20070914000510
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	MAHJOOB
	Individual professional last name
Provider First Name	HOMAYOON
	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	1991
	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	GASTROENTEROLOGY
	First secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties	GASTROENTEROLOGY
	All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information
Line 1 Street Address	12150 ANNAPOLIS RD
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 312
	Group Practice or individual's line 2 address
City	GLENN DALE
	Group Practice or individual's city
State	MD
	Group Practice or individual's state
Zip Code	207699183
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	210003
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	UNIVERSITY OF MD PRINCE GEORGE'S HOSPITAL CTR
	Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment	Y