MEDICARE: DR. AMMAR ALIMAM MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RC0200X	Critical Care Medicine (Internal Medicine) Physician	MA70224	NJ
2	207RC0200X	Critical Care Medicine (Internal Medicine) Physician	55521	KY
3	207RP1001X	Pulmonary Disease Physician	MA70224	NJ
4	207RP1001X	Pulmonary Disease Physician	55521	KY
5	207RP1001X	Pulmonary Disease Physician	MD068085L	PA
6	207RS0010X	Sports Medicine (Internal Medicine) Physician	55521	KY
7	207RS0012X	Sleep Medicine (Internal Medicine) Physician	MA70224	NJ
8	207RC0200X	Critical Care Medicine (Internal Medicine) Physician	MD068085L	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1770542946
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. AMMAR ALIMAM MD

Provider Business Mailing Address
First Line	:	PO BOX 2379
Second Line	:
City	:	ASHLAND
State	:	KY
Zip	:	41105-2379
Country	:	US
Telephone Number	:	606-408-9571
Fax Number	:	606-408-6061

Provider Business Practice Location Address
First Line	:	446 N READING RD
Second Line	:
City	:	EPHRATA
State	:	PA
Zip	:	17522-9802
Country	:	US
Telephone Number	:	717-738-4334
Fax Number	:	717-738-3289

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/17/2006
Last Update Date	:	01/10/2025

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