Al-Ansari, Mohammed Rida

Al-Ansari, Mohammed Rida is an individual health care provider with primary practice located at 25422 Goddard Rd , Taylor MI 48180-6200. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Al-Ansari, Mohammed Rida can be contacted via phone (313) 291-5678.

Contact Information

Primary practice address
25422 Goddard Rd Taylor MI 48180-6200
Phone: (313) 291-5678
Fax: (313) 291-6745
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 043129 Michigan

Profile Details

NPI number 1336110238
LBN Legal business name Al-Ansari, Mohammed Rida
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 30th, 2006
Last updated Jul 8th, 2007 - about 18 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 1336110238 NPPES
Michigan MEDICAID 1953741

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