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AFTAB A ANSARI M.D. S.C. NPI 1104009240


NPI Information

NPI: 1104009240
Provider Name: AFTAB A ANSARI, M.D., S.C.
Classification: Orthopaedic Surgery - 207XS0106X
Entity Type: Organization

Specialization: Hand Surgery

Address:
3535 30TH AVE
SUITE 101B
KENOSHA, WI
ZIP 53144
Phone: (262) 652-4878
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AFTAB A ANSARI, M.D., S.C. is a hand surgery orthopaedic surgery in Kenosha, WI. The provider is an orthopaedic surgeon trained in the investigation, preservation and restoration by medical, surgical and rehabilitative means of all structures of the upper extremity directly affecting the form and function of the hand and wrist. AFTAB A ANSARI, M.D., S.C. NPI is 1104009240. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3535 30TH AVE
SUITE 101B
KENOSHA, WI
ZIP 53144-632
Phone: (262) 652-4878

The provider's authorized official is Aftab A Ansari .
The authorized official title is Owner and has the following contact phone number (262) 652-4878.

The enumeration date for this NPI number is 12/12/2007 and was last updated on 4/20/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207XS0106XOrthopaedic SurgeryHand Surgery21598WISCONSINYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
130186800MEDICAIDWISCONSIN
2=========014OTHERWISCONSINBC/BS PROVIDER ID

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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