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 | Emergency Medicine |
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 |
1092489720001 | Medicaid | PA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | MD452220 (Pennsylvania) | Secondary |
207P00000X | Emergency Medicine | 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 |