Ansari, Irfan A

Ansari, Irfan A is an individual health care provider with primary practice located at 3315 S 23Rd St Suite 200, Tacoma WA 98405-1605. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Ansari, Irfan A can be contacted via phone (253) 272-9994.

Contact Information

Primary practice address
3315 S 23Rd St Suite 200 Tacoma WA 98405-1605
Fax: (253) 572-0468
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X MD00032608 Washington

Profile Details

NPI number 1497711162
LBN Legal business name Ansari, Irfan A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 21st, 2006
Last updated Mar 7th, 2023 - about last year

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 1497711162 NPPES
Washington Other 108359 LABOR & INDUSTRIES
Washington MEDICAID 8194482 LABOR & INDUSTRIES
Washington Other MD00032608 LABOR & INDUSTRIES
Washington Other 04298824 LABOR & INDUSTRIES

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