Physician Compare National (NPI:1972772556)

HEALTHCARE PROVIDER: SEPEHR SAJJAD 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	1972772556
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	8921154865
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20090918000167
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	SAJJAD
	Individual professional last name
Provider First Name	SEPEHR
	Individual professional first 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	2003
	Individual professional's medical school graduation year
Primary Specialty	HAND SURGERY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	59 FAIR HARBOUR PL
	Group Practice or individual's line 1 address
City	NEW LONDON
	Group Practice or individual's city
State	CT
	Group Practice or individual's state
Zip Code	063204739
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	070007
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	LAWRENCE & MEMORIAL HOSPITAL
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	410013
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	WESTERLY HOSPITAL
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	070022
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	YALE-NEW HAVEN HOSPITAL
	Legal business name of hospital where individual professional provides service 3
Professional Accepts Medicare Assignment	Y