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Individual

SOHAIB ANSARI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
375 WAMPANOAG TRL, RIVERSIDE, RI 02915-2232
(401) 649-4070
(401) 649-4071
Mailing address
DEPT 3010, PO BOX 986524, BOSTON, MA 02298-6524
(401) 443-4992
(401) 537-7241

Taxonomy

Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
MD19788
RI
207RP1001X
Pulmonary Disease Physician
MD19788
RI
207RS0012X
Sleep Medicine (Internal Medicine) Physician
Primary
MD19788
RI

Other

Enumeration date
08/14/2017
Last updated
04/23/2024
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