Ansari, Asad
Ansari, Asad is an individual health care provider with primary practice located at 100 Navarre Pl Ste 5550 , South Bend IN 46601-1169. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatric Infectious Diseases, Allopathic & Osteopathic Physicians / Pediatric Pulmonology, Allopathic & Osteopathic Physicians / Sleep Medicine. Allopathic & Osteopathic Physicians / Pediatric Pulmonology is his primary health care specialty. Ansari, Asad can be contacted via phone (574) 647-2550.Contact Information
Primary practice address
100 Navarre Pl Ste 5550
South Bend IN 46601-1169
Phone: (574) 647-2550
Fax: (574) 647-1129
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatric Infectious Diseases | 2080P0208X | 01065535A | Indiana |
| Allopathic & Osteopathic Physicians / Pediatric Pulmonology | 2080P0214X | 4301506067 | Michigan |
| Allopathic & Osteopathic Physicians / Sleep Medicine | 2080S0012X | 4301506067 | Michigan |
| Allopathic & Osteopathic Physicians / Sleep Medicine | 2080S0012X | 01065535A | Indiana |
| Allopathic & Osteopathic Physicians / Pediatric Pulmonology | 2080P0214X | 01065535A | Indiana |
Profile Details
| NPI number | 1053387175 |
|---|---|
| LBN Legal business name | Ansari, Asad |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 28th, 2006 |
| Last updated | May 4th, 2023 - about 2 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 | 1053387175 | NPPES |
| Indiana | MEDICAID | 200928890 | |
| Indiana | MEDICAID | 1053387175 |
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