Individual
DR. SIKANDER JAWEED ANSARI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5301 VIRGINIA WAY, SUITE 300, BRENTWOOD, TN 37027-7541
(615) 221-4474
(615) 234-3774
Mailing address
5301 VIRGINIA WAY, SUITE 300, BRENTWOOD, TN 37027-7541
(615) 221-4474
(615) 234-3774
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
37209
TN
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
37707
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000026730
TLC TENNCARE
TN
05
—
009989915
—
AL
01
—
100042252
PHP TENNCARE
TN
01
—
144256
UNISON TENNCARE
TN
05
—
2587348
—
OH
05
—
326037852A
—
GA
05
—
3881736
—
TN
01
—
4060433
BLUE CROSS
TN
05
—
64069560
—
KY
Enumeration date
09/17/2006
Last updated
10/27/2016
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