Ayaa Siddig Abdelrahman Ali, MBBS

Individual provider Active NPI Surgery Physician · York, PA

NPI 1679207146 · NPPES record last updated Apr 22, 2024

Key facts

NPI
1679207146
Entity type
Individual (NPI type 1)
Primary specialty
Surgery Physician 208600000X
License
MT230861 (PA)
Practice address
1001 S George St
York, PA 17403-3676
Phone
(717) 851-2427
NPI assigned
Jul 12, 2022
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20240718002978 PA Order and Referring Only - General Surgery
Practitioner - General Surgery
0648653337

National Provider Directory

Medicare enrollment (NPD)
Yes

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 32745 MN
Student in an Organized Health Care Education/Training Program 390200000X
Surgery Physician 208600000X MT230861 PA Yes

Addresses

Primary practice location

1001 S George St
York, PA 17403-3676

Mailing address

1001 S George St
York, PA 17403-3676
Phone (717) 851-2427

Other providers in York, PA

All providers in York, PA · Surgery Physician in Pennsylvania

Sources for this page

Verify at the official NPI Registry.