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DR. IRADJ - ANSARI

>> General Acute Care Hospital >> Hospitals

Registrant NPI Number: 1639261159

Individual Registrant:
DR. IRADJ - ANSARI 
Gender: M
Sole Proprietor

Location and contact information for practice:
16450 GULF BLVD APT 263 NORTH REDINGTON BEACH, FL 33708-1575 US
Tel: 727-398-6661  Fax: --

Contact information for business:
16450 GULF BLVD APT 263 NORTH REDINGTON BEACH, FL 33708-1575 US
Tel: --  Fax: --

Registration Information:
NPI: 1639261159
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y282N00000XHospitals
General Acute Care Hospital
NY128460

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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