Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VF0040X | Female Pelvic Medicine and Reconstructive Surgeon | 78214 | GA |
NPI | 1629337241 |
---|---|
Provider Name | Dr. Sana Hussain Ansari |
First Address | Atlanta, GA 30322 |
Second Address | Cincinnati, OH 45219-2906 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 16/05/2012 |
Last Update Date | 20/06/2017 |