Ebrahim, Ayesha

Ebrahim, Ayesha is an individual health care provider with primary practice located at 1185 Town Centre Dr Suite 220, Eagan MN 55123-1187. She recently has only one registered license in Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism, which is considered as her primary health care specialty. Ebrahim, Ayesha can be contacted via phone (651) 379-1600.

Contact Information

Primary practice address
1185 Town Centre Dr Suite 220 Eagan MN 55123-1187
Phone: (651) 379-1600
Fax: (651) 379-1650
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism 207RE0101X 44536 Minnesota

Profile Details

NPI number 1831144609
LBN Legal business name Ebrahim, Ayesha
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 23rd, 2006
Last updated Feb 21st, 2012 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1831144609 NPPES
Minnesota Other 33-00259 MEDICA
Minnesota Other 2418104 MEDICA
Minnesota Other 33-00259 MEDICA
Minnesota Other HP51736 MEDICA
Minnesota Other NA9521031165 MEDICA
Minnesota Other 615K3EB MEDICA
Minnesota Other 113138 MEDICA
Minnesota MEDICAID 80483500 MEDICA

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