Physician Compare National (NPI:1962424903)

HEALTHCARE PROVIDER: RAGHDA TOLAYMAT SAHLOUL 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	1962424903
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	0042226995
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20120124000620
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	SAHLOUL
	Individual professional last name
Provider First Name	RAGHDA
	Individual professional first 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	1993
	Individual professional's medical school graduation year
Primary Specialty	ENDOCRINOLOGY
	Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1	INTERNAL MEDICINE
	First secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties	INTERNAL MEDICINE
	All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information
Line 1 Street Address	4400 MACCORKLE AVE SE
	Group Practice or individual's line 1 address
City	CHARLESTON
	Group Practice or individual's city
State	WV
	Group Practice or individual's state
Zip Code	253042506
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	510022
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	CHARLESTON AREA MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	510048
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	LOGAN REGIONAL MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	511320
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	JACKSON GENERAL HOSPITAL
	Legal business name of hospital where individual professional provides service 3
Hospital Affiliation CCN 4	510029
	Medicare CCN of hospital where individual professional provides service 4
Hospital Affiliation LBN 4	THOMAS MEMORIAL HOSPITAL
	Legal business name of hospital where individual professional provides service 4
Hospital Affiliation CCN 5	511313
	Medicare CCN of hospital where individual professional provides service 5
Hospital Affiliation LBN 5	BOONE MEMORIAL HOSPITAL
	Legal business name of hospital where individual professional provides service 5
Professional Accepts Medicare Assignment	Y

Physician Compare National (NPI:1962424903)

HEALTHCARE PROVIDER: RAGHDA TOLAYMAT SAHLOUL M.D.

Individual Professional Information

Medical School Information

Practice Information

Hospital(s) Affiliation Information