Individual
DR. SHAHERYAR FARUQ ANSARI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
11750 W 2ND PL STE 255, LAKEWOOD, CO 80228-1726
(303) 643-4117
(720) 321-8041
Mailing address
PO BOX 800022, KANSAS CITY, MO 64180-0022
(800) 953-0104
(303) 765-6670
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
01081524A
IN
207T00000X
Neurological Surgery Physician
151835
CA
207T00000X
Neurological Surgery Physician
Primary
CDR.0004616
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300024579
—
IN
Enumeration date
03/19/2012
Last updated
07/15/2025
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