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:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| 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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