Individual
DR. AAISYA NABEEHAH ANSARI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
524 W SAGAMORE AVE, CLEWISTON, FL 33440-3514
(863) 983-9121
Mailing address
12709 HALYARD PL, FORT WASHINGTON, MD 20744-7041
(404) 915-1996
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
C0747
KY
207P00000X
Emergency Medicine Physician
D0062574
MD
207P00000X
Emergency Medicine Physician
Primary
ME132118
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
020877800
—
FL
01
—
D58I1
BCBS
FL
Enumeration date
07/28/2005
Last updated
07/12/2022
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