Physician Compare National (NPI:1891097358)

HEALTHCARE PROVIDER: KHURRAM LIAQAT 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	1891097358
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	1557649258
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20170906001434
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	LIAQAT
	Individual professional last name
Provider First Name	KHURRAM
	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	2005
	Individual professional's medical school graduation year
Primary Specialty	INTERVENTIONAL CARDIOLOGY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Organization Legal Name	MIDWEST CITY HMA PHYSICIAN MANAGEMENT LLC
	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	4981705324
	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	21
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	2401 W RANGLER BLVD
	Group Practice or individual's line 1 address
City	SEMINOLE
	Group Practice or individual's city
State	OK
	Group Practice or individual's state
Zip Code	748681917
	Group Practice or individual's zip code (9 digits when available)
Phone Number	4053034611
	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	370056
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	COMANCHE COUNTY MEMORIAL HOSPITAL
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	370094
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	ALLIANCEHEALTH MIDWEST
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	370023
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	DUNCAN REGIONAL HOSPITAL, INC
	Legal business name of hospital where individual professional provides service 3
Hospital Affiliation CCN 4	370170
	Medicare CCN of hospital where individual professional provides service 4
Hospital Affiliation LBN 4	USPHS LAWTON INDIAN HOSPITAL
	Legal business name of hospital where individual professional provides service 4
Hospital Affiliation CCN 5	370022
	Medicare CCN of hospital where individual professional provides service 5
Hospital Affiliation LBN 5	JACKSON COUNTY MEMORIAL HOSPITAL AUTHORITY
	Legal business name of hospital where individual professional provides service 5
Professional Accepts Medicare Assignment	Y

Physician Compare National (NPI:1891097358)

HEALTHCARE PROVIDER: KHURRAM LIAQAT M.D

Individual Professional Information

Medical School Information

Practice Information

Hospital(s) Affiliation Information