Aftab A Ansari, M.D., S.C.

LBN: Aftab A Ansari, M.D., S.C.
Aftab A Ansari, M.D., S.C. is an health care organization with primary practice located at 3535 30Th Ave Suite 101B, Kenosha WI 53144-1632. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Hand Surgery, which is considered as the primary health care specialty. Aftab A Ansari, M.D., S.C. can be contacted via phone (262) 652-4878, or through Ansari, Aftab A via phone (262) 652-4878.

Contact Information

Primary practice address
3535 30Th Ave Suite 101B Kenosha WI 53144-1632
Phone: (262) 652-4878
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Ansari, Aftab A M.D., S.C.
Phone: (262) 652-4878

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hand Surgery 207XS0106X 21598 Wisconsin

Profile Details

NPI number 1104009240
LBN Legal business name Aftab A Ansari, M.D., S.C.
DBA Doing business as
Authorized official Ansari, Aftab A M.D., S.C.
Entity Organization
Organization subpart 1 No
Enumeration date Dec 12th, 2007
Last updated Apr 20th, 2008 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1104009240 NPPES
Wisconsin MEDICAID 30186800

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