Mohammad Ansari-Dezfuli

Primary specialty

Hematology & Oncology PhysicianTaxonomy code 207RH0003X

License

35. 040149 Issued in OH

Practice address

1700 Carriage Place
Gates Mills, OH 44040

Phone

(440) 449-7577

NPI assigned

Aug 2, 2013

Last updated

Aug 2, 2013By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Dr. Mohammad Ansari-Dezfuli Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1375401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1375401600000",
    "number": "1184056996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 CARRIAGE PLACE",
            "city": "GATES MILLS",
            "state": "OH",
            "postal_code": "44040",
            "telephone_number": "440-449-7577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 CARRIAGE PLACE",
            "city": "GATES MILLS",
            "state": "OH",
            "postal_code": "44040",
            "telephone_number": "440-449-7577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANSARI-DEZFULI",
        "first_name": "MOHAMMAD",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-08-02",
        "last_updated": "2013-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "OH",
            "license": "35. 040149",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MOHAMMAD",
            "last_name": "ANSARI-DEZFULI",
            "prefix": "DR.",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Advanced Healthcare Technologies, Inc.
• Carl Ansevin, M.D.
• Ahmad Ascha, MD
• Patricia Lucille Dicioccio, MA CCC/SLP
• Kara Lynn Dolling, MS, ATC, CSCS, PES
• Dr Michael Saalouke MD Inc

• Hematology & Oncology Physician in Gates Mills, OH
• Providers in Gates Mills, OH by specialty
• Hematology & Oncology Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.