Individual
DR. SHAUKAT ALI ANSARI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1414 N CALIFORNIA ST, STOCKTON, CA 95202-1515
(209) 468-2391
(209) 468-8024
Mailing address
1414 N CALIFORNIA ST, STOCKTON, CA 95202-1515
(209) 468-2391
(209) 468-8024
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
35.089369
OH
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
A105923
CA
Other
Enumeration date
06/21/2007
Last updated
02/04/2014
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