Organization
SUHAIL ANSARI MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUHAIL A ANSARI MD (PRESIDENT)
(620) 624-6222
Entity
Organization
Contact information
Practice address
2138 N KANSAS AVE, LIBERAL, KS 67901-2012
(620) 624-6222
(620) 624-5413
Mailing address
PO BOX 69, LIBERAL, KS 67905
(620) 624-6222
(620) 624-5413
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
0482742
KS
Other
Enumeration date
02/14/2007
Last updated
02/12/2019
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