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Physician Compare National (NPI:1861678856)

HEALTHCARE PROVIDER: ZAHIRUL TALUKDER 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 1861678856
Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID 5294850590
Unique individual clinician ID assigned by PECOS
Professional Enrollment ID I20100909001029
Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name TALUKDER
Individual professional last name
Provider First Name ZAHIRUL
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 1979
Individual professional's medical school graduation year
Primary Specialty GENERAL PRACTICE
Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information

Line 1 Street Address 2193 ASSOCIATION DR
Group Practice or individual's line 1 address
Line 2 Street Address SUITE 600
Group Practice or individual's line 2 address
City OKEMOS
Group Practice or individual's city
State MI
Group Practice or individual's state
Zip Code 488644908
Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information

Hospital Affiliation CCN 1 230230
Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1 EDWARD W SPARROW HOSPITAL
Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2 230092
Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2 HENRY FORD ALLEGIANCE HEALTH
Legal business name of hospital where individual professional provides service 2
Professional Accepts Medicare Assignment Y

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