Ehteshami, John R
Ehteshami, John R is an individual health care provider with primary practice located at 20280 N 59Th Ave Ste 115-345 , Glendale AZ 85308-6850. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine, which is considered as his primary health care specialty. Ehteshami, John R can be contacted via phone (602) 377-2616.Contact Information
Primary practice address
20280 N 59Th Ave Ste 115-345
Glendale AZ 85308-6850
Phone: (602) 377-2616
Fax: (480) 656-1554
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine | 207XS0117X | 41787 | Arizona |
Profile Details
| NPI number | 1457518391 |
|---|---|
| LBN Legal business name | Ehteshami, John R |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 19th, 2008 |
| Last updated | Dec 1st, 2022 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1457518391 | NPPES |
| Arizona | MEDICAID | 487862 |
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