Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080A0000X | Adolescent Medicine | 123483 | NY |
NPI | 1235106949 |
---|---|
Provider Name | Dr. Ansar Ahmed |
First Address | Batavia, NY 14020-2146 |
Second Address | Batavia, NY 14020-2146 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/03/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000506583004 | BLUE CROSS OF WNY (01) | NY |
00468171 | (05) | NY |
100716DL | PREFERRED CARE (01) | NY |
1201232 | INDEPENDENT HEALTH (01) | NY |
P01023483 | BLUE CHOICE (01) | NY |