Ansari, Mohammad Jamal Uddin

Ansari, Mohammad Jamal Uddin is an individual health care provider with primary practice located at 292 Saint Charles Way , York PA 17402-4648. He recently has only one registered license in Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism, which is considered as his primary health care specialty. Ansari, Mohammad Jamal Uddin can be contacted via phone (717) 851-6231.

Contact Information

Primary practice address
292 Saint Charles Way York PA 17402-4648
Phone: (717) 851-6231
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism 207RE0101X 036145361 Illinois
Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism 207RE0101X MD469208 Pennsylvania

Profile Details

NPI number 1457866519
LBN Legal business name Ansari, Mohammad Jamal Uddin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 11th, 2017
Last updated Mar 7th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1457866519 NPPES
Pennsylvania MEDICAID 103793784

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