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Dr. Muhammad Shahzad Mumtaz Ansari, MD
Pediatrics Physician in Mishawaka, Indiana
NPI 1184937245

Muhammad Shahzad Mumtaz Ansari is a Pediatrics Physician based in South Bend, IN. Muhammad Shahzad Mumtaz Ansari practices in Mishawaka, IN and has the professional credentials of MD. The NPI Number for Muhammad Shahzad Mumtaz Ansari is 1184937245 and holds a License No. 036132394 (Indiana).

The current practice location address for Muhammad Shahzad Mumtaz Ansari is 5215 Holy Cross Pkwy, Mishawaka, IN and can be reached out via phone at 574-335-4145 and via fax at 574-335-4146.

Location: 5215 Holy Cross Pkwy, Mishawaka, IN, 46617-2057
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1184937245
Provider Name
Muhammad Shahzad Mumtaz Ansari
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
5215 Holy Cross Pkwy, Mishawaka, IN, 46617-2057
Phone Number
574-335-4145
Fax Number
574-335-4146
Provider Enumeration Date
07/19/2010
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000001019988 01 IN ANTHEM BCBS
institution
Provider Business Practice Location Address Details
Address
5215 Holy Cross Pkwy
City
Mishawaka
State
Indiana
Zip
46545-1469
Phone Number
574-335-4145
Fax Number
574-335-4146
person
Provider Business Mailing Address Details
Address
5215 Holy Cross Pkwy
City
Mishawaka
State
Indiana
Zip
46545-1469
Phone Number
574-335-4145
Fax Number
574-335-4146
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Pediatrics
Speciality
-
Taxonomy
208000000X
License No.
82081-20 (Wisconsin)
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Pediatrics
Speciality
Neonatal-Perinatal Medicine
Taxonomy
2080N0001X
License No.
036132394 (Illinois)
Definition
A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.
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