Ansari, Mohammad Tariq
Ansari, Mohammad Tariq is an individual health care provider with primary practice located at 200 Patewood Dr Suite B480, Greenville SC 29615-3593. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Sleep Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease. Allopathic & Osteopathic Physicians / Pulmonary Disease is his primary health care specialty. Ansari, Mohammad Tariq can be contacted via phone (864) 454-4200.Contact Information
Primary practice address
200 Patewood Dr Suite B480
Greenville SC 29615-3593
Phone: (864) 454-4200
Fax: (864) 454-4205
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Critical Care Medicine | 207RC0200X | 15259 | South Carolina |
| Allopathic & Osteopathic Physicians / Sleep Medicine | 207RS0012X | 15259 | South Carolina |
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | 15259 | South Carolina |
Profile Details
| NPI number | 1821047044 |
|---|---|
| LBN Legal business name | Ansari, Mohammad Tariq |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 6th, 2006 |
| Last updated | Jul 19th, 2021 - about 3 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 | 1821047044 | NPPES |
| South Carolina | Other | 290010760 | RR MEDICARE |
| South Carolina | MEDICAID | 152596 | RR MEDICARE |
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