Individual
SOMA ANSARY
Active
Individual
SOMA ANSARY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Taxonomy
Speciality
Code
Description
License number
State
146D00000X
Personal Emergency Response Attendant
Primary
—
—
363A00000X
Physician Assistant
0110002193
VA
Other
Enumeration date
06/29/2007
Last updated
01/12/2008
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