Physician Compare National (NPI:1912919952)

HEALTHCARE PROVIDER: SHAH NAWAZ AFRIDI 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	1912919952
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	8628119633
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20100112000477
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	AFRIDI
	Individual professional last name
Provider First Name	SHAH
	Individual professional first name
Provider Middle Name	N
	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	1990
	Individual professional's medical school graduation year
Primary Specialty	INTERNAL MEDICINE
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	2705 HOSPITAL DR
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 101
	Group Practice or individual's line 2 address
City	VICTORIA
	Group Practice or individual's city
State	TX
	Group Practice or individual's state
Zip Code	779015776
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	450023
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	CITIZENS MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	451363
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	JACKSON HEALTHCARE CENTER
	Legal business name of hospital where individual professional provides service 2
Professional Accepts Medicare Assignment	Y