Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | N7053 | TX |
N | 111NI0900X | Internist | N7053 | TX |
Y | 207RE0101X | Endocrinologist (Diabetes Doctor) | N7053 | TX |
NPI | 1013190461 |
---|---|
Provider Name | Mohammed Zafer Ansari |
First Address | Sugar Land, TX 77496-6126 |
Second Address | Sugar Land, TX 77479-2375 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/12/2007 |
Last Update Date | 09/03/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
218234705 | (05) | TX |
8FG568 | BCBS (01) | TX |