Ehsan, Mitra
Ehsan, Mitra is an individual health care provider with primary practice located at 1231 116Th Ave Ne Ste 930 , Bellevue WA 98004-3804. She recently has only one registered license in Allopathic & Osteopathic Physicians / Colon & Rectal Surgery, which is considered as her primary health care specialty. Ehsan, Mitra can be contacted via phone (425) 688-1916.Contact Information
Primary practice address
1231 116Th Ave Ne Ste 930
Bellevue WA 98004-3804
Phone: (425) 688-1916
Fax: (425) 688-1901
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Colon & Rectal Surgery | 208C00000X | MD | Washington |
Profile Details
| NPI number | 1053332098 |
|---|---|
| LBN Legal business name | Ehsan, Mitra |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 23rd, 2006 |
| Last updated | Aug 17th, 2023 - about last year |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1053332098 | NPPES |
| Washington | MEDICAID | 2078313 |
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