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NPI 1245677194 · live from the CMS NPI Registry

Asiya Ansari, DPM

Podiatrist, Foot & Ankle Surgery in Lafayette, IN. National Provider Identifier 1245677194, active.

NPI record

NPI1245677194 Type 1 · individual
StatusActive
Primary specialtyPodiatrist, Foot & Ankle Surgery 213ES0103X
Practice location1345 Unity Pl Ste 225, Lafayette, IN 47905
Practice phone765-449-2436
Mailing addressPo Box 4699, Lafayette, IN 47903
EnumeratedJune 2, 2013
Last updatedMarch 22, 2021
Sole proprietorNo

Taxonomies and licenses

TaxonomyCodeLicense
Podiatrist, Foot & Ankle Surgery primary213ES0103X2012027312 (MO)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.