Individual
SHAJIA RAHMAN ANSARI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10833 LE CONTE AVE STE AS-370, LOS ANGELES, CA 90095-4056
(310) 267-2680
(310) 267-2685
Mailing address
5767 W CENTURY BLVD STE 400, LOS ANGELES, CA 90045-5631
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
694201
TX
Other
Enumeration date
04/01/2019
Last updated
07/13/2023
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