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:
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Health care specialties

SpecialtyCodeLicense #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 2 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 1053332098 NPPES
Washington MEDICAID 2078313

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