Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ANSAR A MOHAMMED
DeactivatedMedical Laboratory Technician · CHICAGO, IL
This NPI has been deactivated.
The record was deactivated on October 9, 2021.
Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated.
Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.
Registration Details
- NPI Number
- 1265194120
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 7, 2021 (0.0054794520547945 yrs)
- Last Updated
- May 16, 2024
- Deactivated
- Oct 9, 2021
Practice Information
- Address
-
6424 N ARTESIAN AVECHICAGO, IL, 606455356Browse IL providers · Browse ZIP 60645
- Phone
- 7738527866
- Primary Specialty
-
Medical Laboratory Technician
246RM2200X
Other Medical Laboratory Technician Providers in CHICAGO, IL
| Name | Credential | NPI |
|---|---|---|
| MR. ALEMAYEHU (ALEX) M GEBRESELLASSIE | MLT | 1588962609 |
| MAYA GARLAND | — | 1376204255 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.