Ansari, Shaya
Ansari, Shaya is an individual health care provider with primary practice located at 8020 Constitution Pl Ne Ste 202 , Albuquerque NM 87110. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Ansari, Shaya can be contacted via phone (505) 998-3096.Contact Information
Primary practice address
8020 Constitution Pl Ne Ste 202
Albuquerque NM 87110
Phone: (505) 998-3096
Fax: (505) 998-3100
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 0101281884 | Virginia |
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 4301512042 | Michigan |
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | MD2018-0643 | New Mexico |
Profile Details
| NPI number | 1003851726 |
|---|---|
| LBN Legal business name | Ansari, Shaya |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 17th, 2006 |
| Last updated | Jun 26th, 2024 - about 3 months 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 | 1003851726 | NPPES |
| New Mexico | MEDICAID | 79709231 | |
| New Mexico | MEDICAID | 406932 | |
| New Mexico | MEDICAID | 1003851726 |
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