Provider Demographics
NPI:1750549523
Name:NAJMUS SEHR ANSARI PLC
Entity type:Organization
Organization Name:NAJMUS SEHR ANSARI PLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:NAJMUS
Authorized Official - Middle Name:SHER
Authorized Official - Last Name:ANSARI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:407-617-2692
Mailing Address - Street 1:7037 ROSE AVE
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32810-4042
Mailing Address - Country:US
Mailing Address - Phone:407-286-2965
Mailing Address - Fax:407-704-6917
Practice Address - Street 1:7037 ROSE AVE
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32810-4042
Practice Address - Country:US
Practice Address - Phone:407-286-2965
Practice Address - Fax:407-704-6917
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-29
Last Update Date:2023-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME86442208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL103847700Medicaid
FL53773OtherBCBS
FL53773OtherBCBS