Mir Samim Ahmad Ansary in Woodland - Physician Assistant
Mir Samim Ahmad Ansary - NPI 1548417801
Mir Samim Ahmad Ansary is a Physician Assistant in Woodland, California. Mir Samim Ahmad Ansary practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Mir Samim Ahmad Ansary is 1548417801. The last update date is 2016-09-26.
Mir Samim Ahmad Ansary's current location address is 2081 Bronze Star Dr, Woodland, California. You can contact this provider via phone number 5306682600 and fax number 5306611067. The mailing address for Mir Samim Ahmad Ansary is 2081 Bronze Star Dr, Woodland, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mir Samim Ahmad Ansary |
|---|---|
| Address | 2081 Bronze Star Dr, Woodland, California |
| Phone Number | 5306682600 |
| Fax Number | 5306611067 |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1548417801 |
|---|---|
| Provider Enumeration Date | 2008-08-19 |
| Last Updated Date | 2016-09-26 |
Provider Mailing Address Detail
| Address | 2081 Bronze Star Dr |
|---|---|
| City | Woodland |
| State | California (CA) |
| Post Code | 957765423 |
| Phone Number | 5306682600 |
| Fax Number | 5306611067 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | PA19853 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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What is the unique 10-digit identifier code assigned to Mir Samim Ahmad Ansary by the Centers for Medicare & Medicaid Services?
The Mir Samim Ahmad Ansary has been issued the NPI (National Provider Identifier) 1548417801 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Mir Samim Ahmad Ansary?
The Mir Samim Ahmad Ansary is physically situated at 2081 Bronze Star Dr, in the city of Woodland, state of CA, with the postal code 957765423.
What is Mir Samim Ahmad Ansary's specialized field of practice, and what is the corresponding taxonomy classification code?
The Mir Samim Ahmad Ansary's area of specialization is Physician Assistant, and the corresponding taxonomy code that categorizes this field of practice is 363A00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1548417801 to Mir Samim Ahmad Ansary?
The Centers for Medicare & Medicaid Services originally issued the 1548417801 to Mir Samim Ahmad Ansary on 2008-08-19.
As of what date were the details pertaining to Mir Samim Ahmad Ansary last refreshed?
The information related to the Mir Samim Ahmad Ansary, including its address, specialty, and other relevant details, was last updated on 2016-09-26.