Provider Demographics
NPI:1477858827
Name:ANSARI, NADIA (MD)
Entity Type:Individual
Prefix:
First Name:NADIA
Middle Name:
Last Name:ANSARI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:605 GLOBAL WAY STE 119
Mailing Address - Street 2:
Mailing Address - City:LINTHICUM
Mailing Address - State:MD
Mailing Address - Zip Code:21090-2222
Mailing Address - Country:US
Mailing Address - Phone:667-888-7337
Mailing Address - Fax:410-789-0425
Practice Address - Street 1:605 GLOBAL WAY
Practice Address - Street 2:STE 119
Practice Address - City:LINTHICUM
Practice Address - State:MD
Practice Address - Zip Code:21090-2222
Practice Address - Country:US
Practice Address - Phone:410-789-7337
Practice Address - Fax:410-789-0425
Is Sole Proprietor?:No
Enumeration Date:2011-01-17
Last Update Date:2023-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD74709208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD97760202OtherBCBS
MD056177100Medicaid
MD8569917OtherAETNA HMO
MD9574651OtherAETNA PPO
MD97760201OtherBCBS
DC38940010OtherBCBS