Physician Compare National (NPI:1932199395)

HEALTHCARE PROVIDER: AFZAL H ABDULLAH 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	1932199395
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	2567402605
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20100614000062
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	ABDULLAH
	Individual professional last name
Provider First Name	AFZAL
	Individual professional first name
Provider Middle Name	H
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.
Provider Credential Text	MD
	The abbreviations for professional degrees or credentials used or held by the provider, if the provider is an individual. Examples are MD, DDS, CSW, CNA, AA, NP, RNA, or PSY. These credential designations will not be verified by NPS.

Medical School Information
Medical School Name	GEORGETOWN UNIVERSITY SCHOOL OF MEDICINE
	Individual professional's medical school
Graduation Year	1991
	Individual professional's medical school graduation year
Primary Specialty	VASCULAR SURGERY
	Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1	THORACIC SURGERY
	First secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties	THORACIC SURGERY
	All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information
Line 1 Street Address	2570 24TH ST
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 122
	Group Practice or individual's line 2 address
City	ROCK ISLAND
	Group Practice or individual's city
State	IL
	Group Practice or individual's state
Zip Code	612015394
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	160033
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	GENESIS MEDICAL CENTER-DAVENPORT
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	140280
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	TRINITY - ROCK ISLAND
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	160104
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	TRINITY - BETTENDORF
	Legal business name of hospital where individual professional provides service 3
Hospital Affiliation CCN 4	161313
	Medicare CCN of hospital where individual professional provides service 4
Hospital Affiliation LBN 4	GENESIS MEDICAL CENTER-DEWITT
	Legal business name of hospital where individual professional provides service 4
Hospital Affiliation CCN 5	140275
	Medicare CCN of hospital where individual professional provides service 5
Hospital Affiliation LBN 5	GENESIS HLTH SYSTEM DBA GENESIS MDL CTR-ILLINI
	Legal business name of hospital where individual professional provides service 5
Professional Accepts Medicare Assignment	Y

Physician Compare National (NPI:1932199395)

HEALTHCARE PROVIDER: AFZAL H ABDULLAH M.D.

Individual Professional Information

Medical School Information

Practice Information

Hospital(s) Affiliation Information