Individual
DR. SHAYA ANSARI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 DAKOTA DR, NEW HYDE PARK, NY 11042-1135
(516) 622-6100
(516) 608-6812
Mailing address
8020 CONSTITUTION PL NE STE 202, ALBUQUERQUE, NM 87110-7640
(505) 998-3096
(505) 998-3100
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
0101281884
VA
2085R0202X
Diagnostic Radiology Physician
Primary
222637
NY
2085R0202X
Diagnostic Radiology Physician
4301512042
MI
2085R0202X
Diagnostic Radiology Physician
MD2018-0643
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1003851726
—
MO
05
—
406932
—
AZ
05
—
79709231
—
NM
Enumeration date
06/17/2006
Last updated
07/10/2025
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