Individual
ASHRAFE EWIDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3998 RED LION RD, ANESTHESIA DEPARTMENT, PHILADELPHIA, PA 19114-1436
(215) 612-4088
(215) 612-4323
Mailing address
PO BOX 8500-6335, PHILADELPHIA, PA 19178-0001
(215) 807-8000
(215) 807-8235
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MD072505L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0018865220010
—
PA
05
—
0018865220011
—
PA
05
—
0018865220012
—
PA
01
—
01697
HEALTH PARTNERS
PA
01
—
01886522-05
AMERICHOICE
PA
01
—
1342327
HIGHMARK BLUE SHIELD
PA
01
—
2034803000
KEYSTONE IBC
PA
01
—
2869121
CIGNA
PA
01
—
30015027
KEYSTONE MERCY
PA
01
—
3056444
AETNA CONTRACT
PA
Enumeration date
07/04/2006
Last updated
07/12/2007
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