Physician Compare National (NPI:1992761589)

HEALTHCARE PROVIDER: TARIQ MAHMOOD 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	1992761589
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	3577623958
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20081114000316
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	MAHMOOD
	Individual professional last name
Provider First Name	TARIQ
	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	1980
	Individual professional's medical school graduation year
Primary Specialty	HEMATOLOGY/ONCOLOGY
	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	2828 N GLENHAVEN DR
	Group Practice or individual's line 1 address
City	MIDWEST CITY
	Group Practice or individual's city
State	OK
	Group Practice or individual's state
Zip Code	731104002
	Group Practice or individual's zip code (9 digits when available)
Phone Number	4057324893
	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	370008
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	NORMAN REGIONAL
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	370094
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	ALLIANCEHEALTH MIDWEST
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	370234
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	OKLAHOMA HEART HOSPITAL SOUTH, LLC
	Legal business name of hospital where individual professional provides service 3
Hospital Affiliation CCN 4	370214
	Medicare CCN of hospital where individual professional provides service 4
Hospital Affiliation LBN 4	LINDSAY MUNICIPAL HOSPITAL
	Legal business name of hospital where individual professional provides service 4
Professional Accepts Medicare Assignment	Y