Provider Demographics
NPI:1467525840
Name:ATTIA-ALLA, AYMAN Z (MD)
Entity Type:Individual
Prefix:
First Name:AYMAN
Middle Name:Z
Last Name:ATTIA-ALLA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1752 FRANCIS LEWIS BLVD
Mailing Address - Street 2:
Mailing Address - City:WHITESTONE
Mailing Address - State:NY
Mailing Address - Zip Code:11357-3247
Mailing Address - Country:US
Mailing Address - Phone:718-746-9494
Mailing Address - Fax:
Practice Address - Street 1:1752 FRANCIS LEWIS BLVD
Practice Address - Street 2:
Practice Address - City:WHITESTONE
Practice Address - State:NY
Practice Address - Zip Code:11357-3247
Practice Address - Country:US
Practice Address - Phone:718-746-9494
Practice Address - Fax:718-746-4963
Is Sole Proprietor?:No
Enumeration Date:2006-11-16
Last Update Date:2021-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIMD11696207R00000X
RI11696208M00000X
NY267642-1207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No208M00000XAllopathic & Osteopathic PhysiciansHospitalist
Provider Identifiers
StateIdentifier IDID TypeIssuer
RI449379OtherTUFTS HEALTH PLAN
P00670660OtherRR MEDICARE
RIAA120632OtherHARVARD PILGRIM
RI007057400Medicaid
MA110040661AMedicaid
RIAA120632OtherHARVARD PILGRIM
RI007060870Medicare PIN