National Provider Identifier

Anthony Ansar Mohamed, M.D.

Anthony Ansar Mohamed, M.D. is listed in the NPPES registry with a primary specialty of Diagnostic Radiology Physician in Jamestown, NY and a listed phone number of (716) 664-9731.

NPI 1508273319Jamestown, NYDiagnostic Radiology Physician

Profile Overview

NPI
1508273319
Provider Type
Individual
Primary Specialty
Diagnostic Radiology Physician
Enumeration Date
July 14, 2014
Last Updated
June 18, 2020

Practice Location

  • 207 Foote Ave
  • Jamestown, NY 14701-7077

Phone: (716) 664-9731

Mailing Address

  • 750 E Adams St
  • Department Of Radiology - Room 3428
  • Syracuse, NY 13210-2306

Specialties

  • Diagnostic Radiology Physician (2085R0202X)
  • Student in an Organized Health Care Education/Training Program (390200000X)
Full Record
NPI
1508273319
Entity Type
Individual
Last Name
Mohamed
First Name
Anthony
Middle Name
Ansar
Name Prefix
Dr.
Credential
M.D.
Mailing Street Address
750 E Adams St
Mailing Address Line 2
Department Of Radiology - Room 3428
Mailing City
Syracuse
Mailing State
NY
Mailing ZIP Code
13210-2306
Mailing Country
US
Mailing Phone
(315) 464-7434
Practice Street Address
207 Foote Ave
Practice City
Jamestown
Practice State
NY
Practice ZIP Code
14701-7077
Practice Country
US
Practice Phone
(716) 664-9731
Enumeration Date
July 14, 2014
Last Updated
June 18, 2020
Sex
Male
Sole Proprietor
Yes
Certification Date
June 18, 2020
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Diagnostic Radiology Physician (2085R0202X), Student in an Organized Health Care Education/Training Program (390200000X)