Individual
DR. ATHAR MASOOD ANSARI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
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) 484-3937
(760) 353-3311
Taxonomy
Speciality
Code
Description
License number
State
207RI0011X
Interventional Cardiology Physician
Primary
A50706
CA
Other
Enumeration date
12/08/2006
Last updated
07/08/2007
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