Ansari, Tahayya A. M
Ansari, Tahayya A. M is an individual health care provider with primary practice located at 700 24Th St Kenner Army Health Clinic, Fort Lee VA 23801-0030. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Ansari, Tahayya A. M can be contacted via phone (804) 734-6262.Contact Information
Primary practice address
700 24Th St Kenner Army Health Clinic
Fort Lee VA 23801-0030
Phone: (804) 734-6262
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | 0110001749 | Virginia |
Profile Details
| NPI number | 1619147618 |
|---|---|
| LBN Legal business name | Ansari, Tahayya A. M |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 5th, 2008 |
| Last updated | Dec 7th, 2009 - about 15 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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