Provider Demographics
NPI:1861420994
Name:ANSARI, SAADAT H (MD)
Entity type:Individual
Prefix:DR
First Name:SAADAT
Middle Name:H
Last Name:ANSARI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:201 LONGWOOD DRIVE
Mailing Address - Street 2:STE B
Mailing Address - City:HUNTSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35801
Mailing Address - Country:US
Mailing Address - Phone:256-536-9604
Mailing Address - Fax:256-536-9606
Practice Address - Street 1:201 LONGWOOD DR
Practice Address - Street 2:SUITE B
Practice Address - City:HUNTSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35801
Practice Address - Country:US
Practice Address - Phone:256-536-9604
Practice Address - Fax:256-536-9606
Is Sole Proprietor?:No
Enumeration Date:2006-06-29
Last Update Date:2011-12-06
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
AL00019149207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL051507159OtherBLUE CROSS OF ALABAMA
AL110245924OtherRAILROAD MEDICARE
AL051551572Medicaid
AL051551572Medicaid
AL051551572Medicare PIN