Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207R00000X | Internist | 35.123779 | OH |
Y | 111NI0900X | Internist | 35.123779 | OH |
N | 207RH0002X | Hospice and Palliative Medicine | 35123779 | OH |
NPI | 1225337058 |
---|---|
Provider Name | Huma Naz Ansari |
First Address | Columbus, OH 43202-1559 |
Second Address | Columbus, OH 43221-3502 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/03/2011 |
Last Update Date | 06/10/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0104855 | (05) | OH |