| Dr Shujayat Ali, MD | |
| 
					3800 Sierra Cir, Suite 100, Center Valley, PA 18034-8476  | |
| (484) 664-2090 | |
| (484) 664-2089 | 
| Full Name | Dr Shujayat Ali | 
|---|---|
| Gender | Male | 
| Speciality | Pediatrics | 
| Location | 3800 Sierra Cir, Center Valley, Pennsylvania | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1043591308 | NPI | - | NPPES | 
| 0509698 | Medicaid | NJ | |
| 1092489720001 | Medicaid | PA | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207P00000X | Emergency Medicine | MD452220 (Pennsylvania) | Secondary | 
| 208000000X | Pediatrics | MD452220 (Pennsylvania) | Primary | 
| Entity Name | Lehigh Valley Physician Group | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1457309650 PECOS PAC ID: 3072425123 Enrollment ID: O20040227000335  | 
| Entity Name | Tower Health Medical Group | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1609291350 PECOS PAC ID: 7618889213 Enrollment ID: O20040311000072  | 
| Entity Name | Emergency Physician Associates Of Pennsylvania Pc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1619990900 PECOS PAC ID: 5597663252 Enrollment ID: O20040913000755  | 
| Entity Name | Emergency Care Services Of Pennsylvania Pc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1114955010 PECOS PAC ID: 1759301799 Enrollment ID: O20051206000046  | 
| Entity Name | Hazleton Professional Services | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1952464638 PECOS PAC ID: 8022110402 Enrollment ID: O20070305000195  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Dr Shujayat Ali, MD Po Box 783311, Philadelphia, PA 19178-3311 Ph: (484) 884-4500  | Dr Shujayat Ali, MD 3800 Sierra Cir, Suite 100, Center Valley, PA 18034-8476 Ph: (484) 664-2090  | 
Emily Kraus, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 3800 Sierra Circle, Suite 100, Center Valley, PA 18034 Phone: 484-664-2090 Fax: 484-664-2098  | |
Anuradha Rai, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 3800 Sierra Cir Ste 100, Center Valley, PA 18034 Phone: 484-664-2090 Fax: 484-664-2089  | |
Kelli Nicole Harajda-hurst, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 3800 Sierra Cir Ste 100, Center Valley, PA 18034 Phone: 484-664-2090 Fax: 484-664-2089  | |
Sarah Elizabeth Kleinle, DO Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3800 Sierra Cir Ste 100, Center Valley, PA 18034 Phone: 484-664-2090  | |
Angela Marie Camasto, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3800 Sierra Cir, Suite 100, Center Valley, PA 18034 Phone: 484-664-2090 Fax: 484-664-2089  | |
Dr. Katie Kindt, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 3800 Sierra Cir Ste 100, Center Valley, PA 18034 Phone: 484-664-2090 Fax: 484-664-2089  | |
Katherine Still, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3800 Sierra Cir, Suite 100, Center Valley, PA 18034 Phone: 484-664-2090 Fax: 484-664-2089  |