MEDICARE: ASIMUL ANSARI MD

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	207RC0000X	Cardiovascular Disease Physician	036111559	IL
2	207RC0000X	Cardiovascular Disease Physician	35120477	OH

General Provider Information

NPI Number	:	1376528919
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ASIMUL ANSARI MD

Provider Business Mailing Address
First Line	:	PO BOX 637334
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45263-7334
Country	:	US
Telephone Number	:	513-246-2400
Fax Number	:	513-246-4050

Provider Business Practice Location Address
First Line	:	10506A MONTGOMERY RD
Second Line	:	STE 301
City	:	CINCINNATI
State	:	OH
Zip	:	45242-4401
Country	:	US
Telephone Number	:	513-246-2400
Fax Number	:	513-246-5040

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

Provider Enumeration Date	:	12/07/2005
Last Update Date	:	08/01/2024

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Directions to “ ASIMUL ANSARI MD” Practice Location

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