Provider Demographics
NPI:1730945981
Name:MOHSIN ANSARI MD FAAP PC
Entity type:Organization
Organization Name:MOHSIN ANSARI MD FAAP PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER OF ENTITY
Authorized Official - Prefix:
Authorized Official - First Name:MOHSIN
Authorized Official - Middle Name:
Authorized Official - Last Name:ANSARI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:410-744-5437
Mailing Address - Street 1:7001 JOHNNYCAKE RD STE 102
Mailing Address - Street 2:
Mailing Address - City:WINDSOR MILL
Mailing Address - State:MD
Mailing Address - Zip Code:21244-2419
Mailing Address - Country:US
Mailing Address - Phone:410-744-5437
Mailing Address - Fax:410-744-5436
Practice Address - Street 1:606 S SCHUMAKER DR UNIT A
Practice Address - Street 2:
Practice Address - City:SALISBURY
Practice Address - State:MD
Practice Address - Zip Code:21804-8708
Practice Address - Country:US
Practice Address - Phone:410-742-2255
Practice Address - Fax:410-742-2589
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-26
Last Update Date:2024-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty