Individual
DR. MOHAMMAD T ANSARI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5606 W NORVELL BRYANT HWY, CRYSTAL RIVER, FL 34429-7572
(352) 795-9266
(352) 795-9205
Mailing address
308 W HIGHLAND BLVD, INVERNESS, FL 34452-4716
(352) 726-8353
(352) 726-0090
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
ME0059848
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
060018560
RAIL ROAD MEDICARE
FL
01
—
12967
BLUE CROSS/BLUE SHIELD
FL
Enumeration date
04/20/2006
Last updated
10/09/2013
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