MUJIBA SANJAREEN ANSARI PHYSICIAN ASSISTANT NPI 1427579432

NPI Information

NPI: 1427579432
Provider Name: MUJIBA SANJAREEN ANSARI, PHYSICIAN ASSISTANT
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

PECOS Registration: Yes

Address:
3248 W PEBBLE BEACH CT
LECANTO, FL
ZIP 34461
Phone: (352) 270-1527
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Mujiba Sanjareen Ansari, PHYSICIAN ASSISTANT is a medical physician assistant in Lecanto, FL with 7 years of experience. Mujiba Sanjareen Ansari, PHYSICIAN ASSISTANT NPI is 1427579432. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3248 W PEBBLE BEACH CT
LECANTO, FL
ZIP 34461-774
Phone: (352) 270-1527

The NPI 1427579432 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/29/2017 and was last updated on 6/29/2017.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AM0700X	Physician Assistant	Medical	PA9110443	FLORIDA	Yes

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: 5/5/2024

NPI Synchronization or Removal

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