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Individual

DR. EHSAN ANSARI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
455 CHASE PKWY, WATERBURY, CT 06708-3352
(203) 573-1435
(203) 755-7433
Mailing address
455 CHASE PKWY, WATERBURY, CT 06708-3303
(203) 573-1435
(203) 755-7433

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
043316
CT
207RI0011X
Interventional Cardiology Physician
Primary
043316
CT
207UN0901X
Nuclear Cardiology Physician
043316
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
001433169
CT
01
010043316CT01
ANTHEM BC & BS
CT
01
010043316CT02
ANTHEM BCBS CT
CT
01
043316
CONNECTICARE
CT
01
043316
CONNECTICARE
01
18-07336
UHC
CT
01
1807336
UNITED HEALTHCARE
CT
05
1841236312
CT
01
2V5637
HEALTHNET/COMMERCIAL
CT
01
2V6532
HEALTH NET OF NORTHEAST
CT
01
301027
WELLCARE
CT
01
5937452
AETNA HEALTH PLANS
CT
01
6980371
CIGNA HEALTH PLANS
CT
01
980014
USA
CT
01
P00231450
RAILROAD MEDICARE
CT
01
P3612135
OXFORD HEALTH PLANS
CT
Enumeration date
06/21/2006
Last updated
03/02/2015
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