Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Ajmat Ansari, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1104515337

Ajmat Ansari, MD is a Student in an Organized Health Care Education/Training Program in Detroit, Michigan. Practices as a sole proprietor. Registered with an NPI since 2023.

In the registry since
2023
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

6071 Outer Dr W
Detroit, MI 48235
Phone: (313) 966-7434
Fax: (313) 966-1738
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1104515337
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedMay 3, 2023
Last updated in NPPESSeptember 6, 2023
Certification dateMay 3, 2023

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