Organization
ATHAR M. ANSARI M D INC.
Active
Organization
ATHAR M. ANSARI M D INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ATHAR MASOOD ANSARI M.D. (PRESIDENT)
(760) 484-3937
Entity
Organization
Contact information
Practice address
790 W ORANGE AVE, STE B, EL CENTRO, CA 92243-3274
(760) 353-3222
Mailing address
PO BOX 2575, ALPINE, CA 91903-2575
(760) 353-3222
(760) 353-3311
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
A50706
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A50706
MEDICARE PROVIDER NUMBER
CA
Enumeration date
08/26/2007
Last updated
03/08/2023
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