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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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