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NPI Code Detail

MEDICARE: SYED RAMISA EHSAN M.D

MEDICARE:   SYED RAMISA  EHSAN  M.D
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1390200000XStudent in an Organized Health Care Education/Training Program64368GA

General Provider Information

NPI Number : 1578740742
Entity Type Code : Individual
Provider Name (Legal Business Name) : SYED RAMISA EHSAN M.D
Provider Business Mailing Address
First Line : 720 WESTVIEW DR SW
Second Line : MOREHOUSE SCOOL OF MEDICINE/GME
City : ATLANTA
State : GA
Zip : 30310-1458
Country : US
Telephone Number : 404-752-1857
Fax Number :
Provider Business Practice Location Address
First Line : 720 WESTVIEW DR SW
Second Line : MOREHOUSE SCOOL OF MEDICINE/GME
City : ATLANTA
State : GA
Zip : 30310-1458
Country : US
Telephone Number : 404-752-1857
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/29/2008
Last Update Date : 04/21/2015

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Directions to “ SYED RAMISA EHSAN M.D” Practice Location

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