Ansari, Charmaine
Ansari, Charmaine is an individual health care provider with primary practice located at 1225 Graham Rd Ste 2320C, Florissant MO 63031-8012. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Ansari, Charmaine can be contacted via phone (314) 953-6801.Contact Information
Primary practice address
1225 Graham Rd Ste 2320C
Florissant MO 63031-8012
Phone: (314) 953-6801
Fax: (314) 953-6119
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 2002014025 | Missouri |
Profile Details
| NPI number | 1972613297 |
|---|---|
| LBN Legal business name | Ansari, Charmaine |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 30th, 2006 |
| Last updated | Feb 5th, 2021 - about 4 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 | 1972613297 | NPPES |
| Missouri | MEDICAID | 205980105 |
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