person
Dr. Ibn Ansari, DPM
Student in an Organized Health Care Education/Training Program in Orangeburg, South Carolina
NPI 1346777927

Ibn Ansari is a Student in an Organized Health Care Education/Training Program based in Orangeburg, SC. Ibn Ansari practices in Orangeburg, SC and has the professional credentials of DPM. The NPI Number for Ibn Ansari is 1346777927 and holds a License No. 714 (South Carolina).

The current practice location address for Ibn Ansari is 718 Broughton St, Orangeburg, SC and can be reached out via phone at 803-531-2888. You can also correspond with Ibn Ansari through the mailing address at 718 BROUGHTON ST APT 303, ORANGEBURG, SC - 29115-6648 (mailing address contact number: 803-256-6776).

Location: 718 Broughton St, Orangeburg, SC, 29115-6648
person
Provider Profile Details
NPI Number
1346777927
Provider Name
Ibn Ansari
Credential
DPM
Provider Entity Type
Individual
Gender
Male
Address
718 Broughton St, Orangeburg, SC, 29115-6648
Phone Number
803-531-2888
Fax Number
Provider Enumeration Date
05/15/2017
Last Update Date
04/13/2024
institution
Provider Business Practice Location Address Details
Address
718 Broughton St
City
State
Zip
29115-6648
Phone Number
803-531-2888
Fax Number
person
Provider Business Mailing Address Details
Address
718 Broughton St Apt 303
City
State
Zip
29115-6648
Phone Number
803-256-6776
Fax Number
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot & Ankle Surgery
Taxonomy
License No.
(New York)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
714 (South Carolina)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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