Ansari, Altaf

Ansari, Altaf is an sole proprietor health care provider with primary practice located at 2500 Milvia St , Berkeley CA 94704-2636. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Ansari, Altaf can be contacted via phone (510) 204-5514.

Contact Information

Primary practice address
2500 Milvia St Berkeley CA 94704-2636
Phone: (510) 204-5514
Fax: (510) 204-5515
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 164300 New York
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 352047 California
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 164300 New York
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 352047 California

Profile Details

NPI number 1700938297
LBN Legal business name Ansari, Altaf
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 17th, 2007
Last updated Aug 10th, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1700938297 NPPES
New York MEDICAID 01016366
New York Other C56132

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