Individual provider · NPI-1
Ahisan Ansari, MBBS
Hospitalist · Iowa City, IA
NPI number1124680566
StatusActive
Last updated in NPPESJul 9, 2025
Details
- NPI
- 1124680566
- Entity type
- Individual (NPI-1)
- Name
- Ahisan Ansari
- Credential
- MBBS
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 6, 2019
- Certification date
- Jul 9, 2025
- Last updated
- Jul 9, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208M00000X | Hospitalist | MD-49329 | IA | Yes |
| 207R00000X | Internal Medicine | MD-49329 | IA |
Practice location
200 Hawkins DrIowa City, IA 52242-1009
Phone 319-356-4019
Mailing address
200 Hawkins DrIowa City, IA 52242-1009
Phone 319-356-4019
Other practice locations
701 W Forevergreen Rd
North Liberty, IA 52317-9848
North Liberty, IA 52317-9848
Phone 319-356-4019 · Fax 319-356-3949
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