Individual
DR. SUHAIL ANSARI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2138 N KANSAS AVE, LIBERAL, KS 67901-2012
(620) 624-6222
(620) 624-5413
Mailing address
PO BOX 69, LIBERAL, KS 67905-0069
(620) 624-6222
(620) 624-5413
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
0428742
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100380740A
—
KS
01
—
102826
BCBS
KS
Enumeration date
06/09/2005
Last updated
02/12/2019
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