Ansari, Mohammed A
Ansari, Mohammed A is an individual health care provider with primary practice located at 3600 E Harry St , Wichita KS 67218-3713. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine, which is considered as his primary health care specialty. Ansari, Mohammed A can be contacted via phone (316) 689-5475.Contact Information
Primary practice address
3600 E Harry St
Wichita KS 67218-3713
Phone: (316) 689-5475
Fax: (316) 691-6772
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine | 2080N0001X | 04-26851 | Kansas |
Profile Details
| NPI number | 1770588501 |
|---|---|
| LBN Legal business name | Ansari, Mohammed A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 17th, 2005 |
| Last updated | Mar 2nd, 2017 - about 9 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 | 1770588501 | NPPES |
| Kansas | MEDICAID | 100295570B |
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