Individual
DR. IRFAN A ANSARI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MD00032608
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04298824
ECFMG
WA
01
—
108359
LABOR & INDUSTRIES
WA
05
—
8194482
—
WA
01
—
MD00032608
STATE LICENSE
WA
Enumeration date
04/21/2006
Last updated
03/07/2023
Update your record
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