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Contact Information

IBN ANSARI, DPM
718 BROUGHTON ST
ORANGEBURG, SC29115-6648
 Phone: 803-531-2888
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery, Foot & Ankle

213ES0103X 48 Podiatry
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for IBN ANSARI · (Male)

NPI # 1346777927
Status Active
Credentials DPM (Doctor of Podiatric Medicine)
Entity Individual
Enumeration date 05/15/2017
Last updated 03/27/2024 - About 2 years ago
Sole proprietor 1 No
Identifiers
  • SC License # 714
Hospital affiliation(s)
  • TRMC OF ORANGEBURG & CALHOUN - (Acute Care)
    3000 ST MATTHEWS RD BOX 1806
    ORANGEBURG, SC 29115
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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