Healthcare Provider Details

I. General information

NPI: 1922414226
Provider Name (Legal Business Name): AHMED MAHROS KAMAL BAIOMI MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/08/2014
Last Update Date: 06/13/2026
Certification Date: 06/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2350 FREEDOM WAY STE 200
YORK PA
17402-8200
US

IV. Provider business mailing address

3421 CONCORD RD
YORK PA
17402-9001
US

V. Phone/Fax

Practice location:
  • Phone: 717-812-5120
  • Fax: 717-741-3075
Mailing address:
  • Phone: 717-812-5120
  • Fax: 717-741-3075

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207RG0100X
TaxonomyGastroenterology Physician
License NumberMD473038
License Number StatePA
# 3
Primary TaxonomyN
Taxonomy Code207RG0100X
TaxonomyGastroenterology Physician
License NumberFB0141642
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: