Individual ProviderAlia AlsaidyInternal MedicineAllopathic & Osteopathic PhysiciansPractice Address4300 Londonderry Rd, Harrisburg, PA 17109-5317(717) 231-8772PECOS EnrollmentBased on the most recent information from CMS, provider Alia Alsaidy is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 15 days ago.Profile DetailsProvider ID1033475405Provider TypeIndividualFull NameAlsaidy, AliaTitleDr.CredentialDOGenderFemaleSole ProprietorNoEnumeration Date4/10/2012Last Updated1/16/2021Contact InformationPractice LocationPractice Address4300 Londonderry Rd, Harrisburg, PA 17109-5317Phone(717) 231-8772Fax(717) 231-8435Mailing LocationMailing Address409 S 2nd St, Suite 2f, Harrisburg, PA 17104-1612Phone(717) 231-8772Fax(717) 231-8435Provider TaxonomiesCodeDescriptionLicenseCode207R00000XPrimaryDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicenseOS017754PennsylvaniaProvider IdentifiersIDDescriptionIssuerID103038630DescriptionMedicaidIssuerUnlistedPennsylvania