Individual
DR. MOHAMMAD MEHDI ANSARI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3601 4TH ST, LUBBOCK, TX 79430-3821
(516) 474-3293
Mailing address
2520 MARSHA SHARP FWY APT 332, LUBBOCK, TX 79415-3400
(516) 474-3293
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
45996
TX
207RC0000X
Cardiovascular Disease Physician
45996
TX
207RI0011X
Interventional Cardiology Physician
Primary
45996
TX
Other
Enumeration date
09/15/2008
Last updated
11/22/2021
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