Ansari, Asad

Ansari, Asad is an individual health care provider with primary practice located at 100 Navarre Pl Ste 5550 , South Bend IN 46601-1169. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatric Infectious Diseases, Allopathic & Osteopathic Physicians / Pediatric Pulmonology, Allopathic & Osteopathic Physicians / Sleep Medicine. Allopathic & Osteopathic Physicians / Pediatric Pulmonology is his primary health care specialty. Ansari, Asad can be contacted via phone (574) 647-2550.

Contact Information

Primary practice address
100 Navarre Pl Ste 5550 South Bend IN 46601-1169
Phone: (574) 647-2550
Fax: (574) 647-1129
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Infectious Diseases 2080P0208X 01065535A Indiana
Allopathic & Osteopathic Physicians / Pediatric Pulmonology 2080P0214X 4301506067 Michigan
Allopathic & Osteopathic Physicians / Sleep Medicine 2080S0012X 4301506067 Michigan
Allopathic & Osteopathic Physicians / Sleep Medicine 2080S0012X 01065535A Indiana
Allopathic & Osteopathic Physicians / Pediatric Pulmonology 2080P0214X 01065535A Indiana

Profile Details

NPI number 1053387175
LBN Legal business name Ansari, Asad
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 28th, 2006
Last updated May 4th, 2023 - about 3 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 1053387175 NPPES
Indiana MEDICAID 200928890
Indiana MEDICAID 1053387175

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