Healthcare Provider Details

I. General information

NPI: 1235581273
Provider Name (Legal Business Name): SUNDUS SAAD MOHAMED ELFADIL M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/01/2016
Last Update Date: 10/01/2026
Certification Date: 10/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

30 N 4TH ST FL 2
LEBANON PA
17046-5606
US

IV. Provider business mailing address

601 MEMORY LN
YORK PA
17402-2231
US

V. Phone/Fax

Practice location:
  • Phone: 717-279-6700
  • Fax: 717-279-6759
Mailing address:
  • Phone: 717-851-1405
  • Fax: 717-851-6969

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberMD468304
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: