Individual
IBAD ANSARI
Active
Individual
IBAD ANSARI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
01035152A
IN
207RC0000X
Cardiovascular Disease Physician
Primary
01035152A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200539450A
—
IN
01
—
P01214593
RR MEDICARE PTAN
IN
01
—
P01215493
RR MEDICARE PTAN
IN
Enumeration date
01/11/2006
Last updated
06/11/2021
Update your record
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