Physician Compare National (NPI:1942241708)

HEALTHCARE PROVIDER: HALIM SALIM ABOU-FAYCAL 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	1942241708
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	7214932029
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20130111000357
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	ABOU FAYCAL
	Individual professional last name
Provider First Name	HALIM
	Individual professional first name
Provider Middle Name	SALIM
	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	OTHER
	Individual professional's medical school
Graduation Year	2000
	Individual professional's medical school graduation year
Primary Specialty	INTERNAL MEDICINE
	Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1	INFECTIOUS DISEASE
	First secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties	INFECTIOUS DISEASE
	All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information
Line 1 Street Address	11010 HELENS WAY
	Group Practice or individual's line 1 address
City	SHREVEPORT
	Group Practice or individual's city
State	LA
	Group Practice or individual's state
Zip Code	711069328
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	190111
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	WILLIS KNIGHTON MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment	Y