IndividualActive
Ibn Ansari, DPM
NPI 1346777927 · Foot & Ankle Surgery Podiatrist · Orangeburg, SC
Provider details
- NPI number
- 1346777927
- Entity type
- Individual
- Primary specialty
- Foot & Ankle Surgery PodiatristPodiatric Medicine & Surgery Service Providers
- Credential
- DPM
- Sex
- Male
- Sole proprietor
- No
- License
- 714 (SC)
Specialties & taxonomies
Podiatric Medicine & Surgery Service Providers
Student, Health Care
Practice location
718 Broughton St
Orangeburg, SC 29115-6648
Phone: (803) 531-2888
Approximate (ZIP-level) locationGet directions
Mailing address
718 Broughton St Apt 303
Orangeburg, SC 29115-6648
Additional practice locations (1)
- 234 W 137th StNew York, NY 10030-2407Phone: (678) 471-5513
Registry dates
- Enumerated
- 2017-05-15
- Last updated
- 2024-03-27
- Certified
- 2020-08-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.