Provider Demographics
NPI:1235581273
Name:ELFADIL, SUNDUS SAAD MOHAMED (MD)
Entity type:Individual
Prefix:
First Name:SUNDUS
Middle Name:SAAD MOHAMED
Last Name:ELFADIL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:601 MEMORY LN
Mailing Address - Street 2:
Mailing Address - City:YORK
Mailing Address - State:PA
Mailing Address - Zip Code:17402-2231
Mailing Address - Country:US
Mailing Address - Phone:717-851-1405
Mailing Address - Fax:717-851-6969
Practice Address - Street 1:6 PERRI AVE
Practice Address - Street 2:
Practice Address - City:MYERSTOWN
Practice Address - State:PA
Practice Address - Zip Code:17067-3200
Practice Address - Country:US
Practice Address - Phone:717-949-6581
Practice Address - Fax:717-949-2816
Is Sole Proprietor?:No
Enumeration Date:2016-07-01
Last Update Date:2024-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD468304208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics