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Contact Information

ASAD ANSARI, MD
100 NAVARRE PL STE 5550
SOUTH BEND, IN46601-1169
 Phone: 574-647-2550
 Fax: 574-647-1129
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatric Pulmonology

2080P0214X 37 Physician/Pediatric Medicine
 

Pediatric Infectious Diseases

2080P0208X 37 Physician/Pediatric Medicine
 

Sleep Medicine

2080S0012X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for ASAD ANSARI · (Male)

NPI # 1053387175
Status Active
Credentials MD
Entity Individual
Enumeration date 02/28/2006
Last updated 05/04/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • IN License # 01065535A
  • MI License # 4301506067
  • IN Medicaid 200928890
  • MI Medicaid 1053387175
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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