MEDICARE: DR. NAJDA ANSARI MUJTABA M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	MT185737	PA
2	207Q00000X	Family Medicine Physician	25MA08439800	NJ
3	207Q00000X	Family Medicine Physician	P3938	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1033390828
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. NAJDA ANSARI MUJTABA M.D.

Provider Business Mailing Address
First Line	:	3525 W HOLCOMBE BLVD FL 1
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77025-1313
Country	:	US
Telephone Number	:	713-814-2800
Fax Number	:

Provider Business Practice Location Address
First Line	:	3525 W HOLCOMBE BLVD FL 1
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77025-1313
Country	:	US
Telephone Number	:	713-814-2800
Fax Number	:	713-814-2805

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/20/2007
Last Update Date	:	04/10/2026

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