Individual provider · NPI-1

Dr. Farrukh Aziz Ansari, MD

Pain Medicine, Interventional Pain Medicine · Albany, NY

NPI number1174814933
StatusActive
Last updated in NPPESJul 16, 2025

Details

NPI
1174814933
Entity type
Individual (NPI-1)
Name
Dr. Farrukh Aziz Ansari
Credential
MD
Sex
Male
Sole proprietor
No
Enumeration date
Apr 28, 2011
Certification date
Jul 16, 2025
Last updated
Jul 16, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
208VP0014X Pain Medicine, Interventional Pain Medicine269588NYYes
207L00000X Anesthesiology269588NY
208VP0000X 269588NY
390200000X Student in an Organized Health Care Education/Training Program––

Practice location

121 Everett Rd
Albany, NY 12205-1474

Phone 518-489-2663 · Fax 518-689-3881

Mailing address

121 Everett Rd
Albany, NY 12205-1474

Phone 518-489-2663 · Fax 518-689-3881

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