Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207W00000X | Ophthalmologist | 41652 | KY |
NPI | 1043207228 |
---|---|
Provider Name | Dr. Irfan Ansari |
First Address | Frankfort, KY 40601-6524 |
Second Address | Frankfort, KY 40601-6524 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/10/2005 |
Last Update Date | 15/01/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
036108906 | (05) | IL |
084219 | HEALTH ALLIANCE (01) | |
238798 | HARMONY HEALTH PLAN (01) | |
539545 | HEALTHLINK (01) | |
H82395 | (02) | |
P00023307 | MEDICARE RAILROAD (01) | IL |