Ansari, Camron Reza

Ansari, Camron Reza is an individual health care provider with primary practice located at 1 Medical Village Dr , Edgewood KY 41017-3403. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, Nursing Service Providers / Registered Nurse. Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered is his primary health care specialty. Ansari, Camron Reza can be contacted via phone (859) 341-7246.

Contact Information

Primary practice address
1 Medical Village Dr Edgewood KY 41017-3403
Phone: (859) 341-7246
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 081074 Kentucky
Nursing Service Providers / Registered Nurse 163W00000X 1104576 Kentucky

Profile Details

NPI number 1609029107
LBN Legal business name Ansari, Camron Reza
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 28th, 2008
Last updated Jul 22nd, 2009 - about 16 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 1609029107 NPPES
Ohio MEDICAID 2939968
Ohio Other 000000596705
Ohio MEDICAID 200929960
Ohio MEDICAID 7100061830

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