Individual provider · Type 1 NPI

Siddiq Ansari

Student in an Organized Health Care Education/Training Program · Scranton, PA

NPI number 1679278402 Active

Practice location

501 S Washington Ave
Scranton, PA 18505-3814

Mailing address

5037 Village Commons Dr
West Bloomfield, MI 48322-3380

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: 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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About NPI 1679278402

Siddiq Ansari's National Provider Identifier is 1679278402, issued on Apr 3, 2023. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Scranton, PA. The record was last updated on Apr 3, 2023.