Provider Demographics
NPI:1902286305
Name:ASKEW-ANSARI, ANJAIL (MS, RD, LD)
Entity Type:Individual
Prefix:MRS
First Name:ANJAIL
Middle Name:
Last Name:ASKEW-ANSARI
Suffix:
Gender:F
Credentials:MS, RD, LD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19136 MENDOTA ST
Mailing Address - Street 2:
Mailing Address - City:DETROIT
Mailing Address - State:MI
Mailing Address - Zip Code:48221-3216
Mailing Address - Country:US
Mailing Address - Phone:713-385-3778
Mailing Address - Fax:
Practice Address - Street 1:19136 MENDOTA ST
Practice Address - Street 2:
Practice Address - City:DETROIT
Practice Address - State:MI
Practice Address - Zip Code:48221-3216
Practice Address - Country:US
Practice Address - Phone:713-385-3778
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-06-02
Last Update Date:2015-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered