Ansari, Shaheryar Faruq

Ansari, Shaheryar Faruq is an individual health care provider with primary practice located at 8040 Clearvista Pkwy Ste 240 , Indianapolis IN 46256-4673. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurological Surgery, which is considered as his primary health care specialty. Ansari, Shaheryar Faruq can be contacted via phone (317) 621-0100.

Contact Information

Primary practice address
8040 Clearvista Pkwy Ste 240 Indianapolis IN 46256-4673
Fax: (317) 621-0103
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurological Surgery 207T00000X 151835 California
Allopathic & Osteopathic Physicians / Neurological Surgery 207T00000X 01081524A Indiana

Profile Details

NPI number 1659646917
LBN Legal business name Ansari, Shaheryar Faruq
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 19th, 2012
Last updated Nov 27th, 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 1659646917 NPPES
Indiana MEDICAID 300024579

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