Physician Compare National (NPI:1750328308)

HEALTHCARE PROVIDER: RIDA ANIS FRAYHA 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	1750328308
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	2163614876
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20101012001231
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	FRAYHA
	Individual professional last name
Provider First Name	RIDA
	Individual professional first name
Provider Middle Name	ANIS
	Individual professional middle 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	1969
	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	RHEUMATOLOGY
	First secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties	RHEUMATOLOGY
	All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information
Line 1 Street Address	3640 FORDS LANE E
	Group Practice or individual's line 1 address
City	BALTIMORE
	Group Practice or individual's city
State	MD
	Group Practice or individual's state
Zip Code	212152946
	Group Practice or individual's zip code (9 digits when available)
Phone Number	4103582741
	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	210034
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	MEDSTAR HARBOR HOSPITAL
	Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment	Y