Physician Compare National (NPI:1982628913)

HEALTHCARE PROVIDER: LIZA HASSO 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	1982628913
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	4486787926
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20100804000189
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	HASSO
	Individual professional last name
Provider First Name	LIZA
	Individual professional first name
Provider Gender	F
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	GEORGIA COLLEGE OF ECLECTRIC MEDICINE AND SURGERY
	Individual professional's medical school
Graduation Year	1988
	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
Line 1 Street Address	2233 PEACHTREE RD NE
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 310
	Group Practice or individual's line 2 address
City	ATLANTA
	Group Practice or individual's city
State	GA
	Group Practice or individual's state
Zip Code	303091109
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	110083
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	PIEDMONT HOSPITAL
	Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment	Y