Ansari, Mohammad Jamal Uddin
Ansari, Mohammad Jamal Uddin is an individual health care provider with primary practice located at 292 Saint Charles Way , York PA 17402-4648. He recently has only one registered license in Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism, which is considered as his primary health care specialty. Ansari, Mohammad Jamal Uddin can be contacted via phone (717) 851-6231.Contact Information
Primary practice address
292 Saint Charles Way
York PA 17402-4648
Phone: (717) 851-6231
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism | 207RE0101X | 036145361 | Illinois |
| Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism | 207RE0101X | MD469208 | Pennsylvania |
Profile Details
| NPI number | 1457866519 |
|---|---|
| LBN Legal business name | Ansari, Mohammad Jamal Uddin |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 11th, 2017 |
| Last updated | Mar 7th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1457866519 | NPPES |
| Pennsylvania | MEDICAID | 103793784 |
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