Individual
DR. ANIS U ANSARI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
915 13TH AVE N, CLINTON, IA 52732-5067
(563) 243-2511
(563) 243-0817
Mailing address
915 13TH AVE N, CLINTON, IA 52732-5067
(563) 243-2511
(563) 243-0817
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
29411
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036083530
—
IL
01
—
043663
HEALTH ALLIANCE
—
01
—
19975
IOWA HEALTH SOLUTIONS
—
01
—
2418
MIDLANDS CHOICE
—
01
—
49180
WELLMARK BC/BS
—
05
—
5107375
—
IA
01
—
IA0177
JOHN DEERE HEALTH
—
Enumeration date
05/04/2006
Last updated
03/15/2013
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