Mohammad Ansari
Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Shreveport, LA
NPI 1497423974 · NPPES record last updated Aug 31, 2021
Key facts
- NPI
- 1497423974
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Student in an Organized Health Care Education/Training Program 390200000X
- Practice address
- 1501 Kings Hwy
Shreveport, LA 71103-4228 - Phone
- (318) 626-0434
- NPI assigned
- Aug 31, 2021
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Yes |
Addresses
Primary practice location
1501 Kings Hwy
Shreveport, LA 71103-4228
Mailing address
1501 Kings Hwy
Shreveport, LA 71103-4228
Phone (318) 626-0434
Other providers in Shreveport, LA
- Kristina Gambino Annaloro
- Patrick Annaloro
- Pratibha Anne
- Anointed Reign Healthcare,LLC
- Junaid Ansari
- Misty Marlene Anthony-McAllister
- Asian Anthony
- Christene Anthony
- Lora N Anthony
- Tiffany Anthony
All providers in Shreveport, LA · Student in an Organized Health Care Education/Training Program in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 31, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.