Provider Demographics
NPI:1518104975
Name:JILANI, AYSHA A (MD)
Entity Type:Individual
Prefix:DR
First Name:AYSHA
Middle Name:A
Last Name:JILANI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Mailing Address - Street 1:342 W GERMANTOWN PIKE
Mailing Address - Street 2:STE 200
Mailing Address - City:EAST NORRITON
Mailing Address - State:PA
Mailing Address - Zip Code:19403-4260
Mailing Address - Country:US
Mailing Address - Phone:610-279-1500
Mailing Address - Fax:
Practice Address - Street 1:1235 OLD YORK RD
Practice Address - Street 2:SUITE 113
Practice Address - City:ABINGTON
Practice Address - State:PA
Practice Address - Zip Code:19001-3800
Practice Address - Country:US
Practice Address - Phone:215-481-6180
Practice Address - Fax:215-481-6341
Is Sole Proprietor?:No
Enumeration Date:2009-01-07
Last Update Date:2020-06-22
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAMD435227207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA102315960Medicaid
PA149190Medicare PIN