Hazrat, Ehsan

Hazrat, Ehsan is an individual health care provider with primary practice located at 1515 Village Dr , Cottage Grove OR 97424-9700. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Hazrat, Ehsan can be contacted via phone (541) 767-5200.

Contact Information

Primary practice address
1515 Village Dr Cottage Grove OR 97424-9700
Phone: (541) 767-5200
Fax: (541) 767-5353
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 125062419 Illinois

Profile Details

NPI number 1043564586
LBN Legal business name Hazrat, Ehsan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 6th, 2012
Last updated Oct 18th, 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.

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