Individual
HUMA NAZ ANSARI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
5501 OLD YORK RD, PHILADELPHIA, PA 19141-3018
(215) 456-3880
(215) 456-3456
Mailing address
101 E OLNEY AVE STE 400, PHILADELPHIA, PA 19120-2470
(215) 456-1825
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
35.123779
OH
207R00000X
Internal Medicine Physician
Primary
MD467997
PA
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
35123779
OH
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
MD467997
PA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0104855
—
OH
Enumeration date
03/18/2011
Last updated
01/02/2025
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