Individual
ANNIS MOHAMED BUSHAALA ALI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
25 MONUMENT RD STE 295, YORK, PA 17403-5049
(717) 356-5864
Mailing address
25 MONUMENT RD STE 295, YORK, PA 17403-5049
(717) 356-5864
(717) 851-3559
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
MD482147
PA
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
MD481917
PA
Other
Enumeration date
04/22/2015
Last updated
08/23/2023
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