Provider Demographics
NPI:1841309192
Name:ANSARI, SAIMA J (MD)
Entity type:Individual
Prefix:DR
First Name:SAIMA
Middle Name:J
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 1:79 WAWECUS ST
Mailing Address - Street 2:SUITE 102
Mailing Address - City:NORWICH
Mailing Address - State:CT
Mailing Address - Zip Code:06360-2160
Mailing Address - Country:US
Mailing Address - Phone:860-204-9735
Mailing Address - Fax:860-204-9793
Practice Address - Street 1:27 NAEK RD STE 2
Practice Address - Street 2:
Practice Address - City:VERNON
Practice Address - State:CT
Practice Address - Zip Code:06066-3965
Practice Address - Country:US
Practice Address - Phone:860-875-2444
Practice Address - Fax:860-872-2936
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-30
Last Update Date:2023-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT046328207RC0200X, 207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
No207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT010046328CT01OtherBLUE CARE FAMILY
CT010046328CT01OtherANTHEM
CT046328OtherCONNECTICARE
CT061637053OtherTRICARE
CT9888821OtherCIGNA
CT061637053OtherHEALTHNET FEDERAL
CTD400000553Medicare PIN