Anbari, Martin Mazen

Anbari, Martin Mazen is an individual health care provider with primary practice located at 3801 S National Ave , Springfield MO 65807-5210. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology. Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology is his primary health care specialty. Anbari, Martin Mazen can be contacted via phone (417) 269-4056.

Contact Information

Primary practice address
3801 S National Ave Springfield MO 65807-5210
Phone: (417) 269-4056
Fax: (417) 269-5556
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 103662 Missouri
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology 2085R0204X 103662 Missouri

Profile Details

NPI number 1083674667
LBN Legal business name Anbari, Martin Mazen
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 27th, 2006
Last updated Mar 22nd, 2018 - about 6 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 1083674667 NPPES
Missouri Other 1256 BLUE
Missouri Other 300085565 BLUE
Missouri Other A008 BLUE
Missouri MEDICAID 134172001 BLUE
Missouri MEDICAID 209799006 BLUE

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