Individual
ALI YOUSUFUDDIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
69 ST PAUL DR STE B, CHAMBERSBURG, PA 17201-1020
(717) 218-8800
(717) 552-2196
Mailing address
69 ST PAUL DR STE B, CHAMBERSBURG, PA 17201-1020
(717) 218-8800
(717) 552-2196
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
MD422419
PA
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
MD422419
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
050514
MEDICARE GROUP #
PA
01
—
1007307260036
MEDICAID GROUP # (AFC)
PA
01
—
1007307260037
MEDICAID GROUP # (PMFC)
PA
05
—
100816820 0001
—
PA
05
—
100816820 0002
—
PA
05
—
100816820 0003
—
PA
01
—
120420418
DEPT OF LABOR
PA
01
—
1511160
HIGHMARK BLUESHIELD
PA
01
—
1569284
GATEWAY
PA
01
—
1763477
AETNA HMO (AFC)
PA
01
—
2154658
MAMSI
PA
01
—
227939
UNISON (AFC)
PA
01
—
25-1716306
INTERGROUP
PA
01
—
289723
UNISON (PMFC)
PA
01
—
50073146
CAPITAL BLUECROSS (AFC)
PA
01
—
50083161
CAPITAL BLUECROSS (PMFC)
PA
01
—
6802723
AETNA HMO (PMFC)
PA
01
—
7741677
AETNA NON-HMO
PA
01
—
922049-04
CAREFIRST MD (PMFC)
PA
01
—
MD422419
LICENSE
PA
01
—
P00458429
RAILROAD MEDICARE
PA
01
—
PEARL PROVIDER
HEALTH AMERICA
PA
01
—
V132-0001
CAREFIRST DC (PMFC)
PA
Enumeration date
08/26/2005
Last updated
03/07/2023
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