Physician Compare National (NPI:1861869976)

HEALTHCARE PROVIDER: MARYAM WAHEED DDS

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1861869976
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	8325384894
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20190104001653
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	WAHEED
	Individual professional last name
Provider First Name	MARYAM
	Individual professional first name
Provider Gender	F
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	NEW YORK UNIVERSITY COLLEGE OF DENTISTRY
	Individual professional's medical school
Graduation Year	2015
	Individual professional's medical school graduation year
Primary Specialty	ORAL SURGERY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	250 W LINCOLN AVE
	Group Practice or individual's line 1 address
City	ANAHEIM
	Group Practice or individual's city
State	CA
	Group Practice or individual's state
Zip Code	928052903
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y