Individual
MUHAMMAD ANSAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
263 FARMINGTON AVENUE, FARMINGTON, CT 06030
(860) 679-3245
(860) 679-0121
Mailing address
250 N SHADELAND AVE STE 200, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
01084412A
IN
207R00000X
Internal Medicine Physician
MD41877
IA
207R00000X
Internal Medicine Physician
MT198966
PA
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
01084412A
IN
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
063912
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000001421215
ANTHEM PTAN
IN
05
—
1285918557
—
IA
05
—
300041017
—
IN
Enumeration date
10/05/2011
Last updated
03/05/2025
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