Physician Compare National (NPI:1952542003)

HEALTHCARE PROVIDER: SHERINE W TADROS 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	1952542003
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	0244401859
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20110912000227
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	TADROS
	Individual professional last name
Provider First Name	SHERINE
	Individual professional first name
Provider Middle Name	W
	Individual professional middle name
Provider Gender	F
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	OTHER
	Individual professional's medical school
Graduation Year	1984
	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
Organization Legal Name	KHAN AND MUJEEB PLLC
	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	6305023169
	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	3
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	2655 W BAKER RD
	Group Practice or individual's line 1 address
Line 2 Street Address	PRIME CARE MDS
	Group Practice or individual's line 2 address
City	BAYTOWN
	Group Practice or individual's city
State	TX
	Group Practice or individual's state
Zip Code	775212206
	Group Practice or individual's zip code (9 digits when available)
Phone Number	2818372273
	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	450424
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	HOUSTON METHODIST SAN JACINTO HOSPITAL
	Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment	Y