Provider Demographics
NPI:1861451759
Name:MESSEIH, ADEL (MD)
Entity Type:Individual
Prefix:DR
First Name:ADEL
Middle Name:
Last Name:MESSEIH
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 1:1201 GRAMPIAN BLVD
Mailing Address - Street 2:PO BOX 3127
Mailing Address - City:WILLIAMSPORT
Mailing Address - State:PA
Mailing Address - Zip Code:17701-1900
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1100 GRAMPIAN BLVD
Practice Address - Street 2:DIVINE PROVIDENCE HOSPITAL
Practice Address - City:WILLIAMSPORT
Practice Address - State:PA
Practice Address - Zip Code:17701-1909
Practice Address - Country:US
Practice Address - Phone:570-326-8470
Practice Address - Fax:570-326-8590
Is Sole Proprietor?:No
Enumeration Date:2006-03-21
Last Update Date:2007-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD024213E207RH0003X, 207RX0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
No207RX0202XAllopathic & Osteopathic PhysiciansInternal MedicineMedical Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA817378OtherFIRST PRIORITY HEALTH
PA50057108OtherKEYSTNE HLTH PLN CENTRAL
PA0010319410006Medicaid
PA1768366OtherUNITEDHEALTHCARE
PAE10416OtherHEALTHAMERICA
PA4588364OtherAETNA
PA4588364OtherAETNA
PA1768366OtherUNITEDHEALTHCARE
PA50057108OtherKEYSTNE HLTH PLN CENTRAL