Provider Demographics
NPI:1720284805
Name:EHSAN, RASHID (MD)
Entity type:Individual
Prefix:DR
First Name:RASHID
Middle Name:
Last Name:EHSAN
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:4825 PLEASURE HOUSE CT APT 20
Mailing Address - Street 2:
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23455-2236
Mailing Address - Country:US
Mailing Address - Phone:973-801-7754
Mailing Address - Fax:757-390-4499
Practice Address - Street 1:721 FAIRFAX AVE # 10, GLENAN CENTRE FOR GER
Practice Address - Street 2:AND GERONTOLOGY, EASTERN VIRGINIA MEDICAL SCHOOL
Practice Address - City:NORFOLK
Practice Address - State:VA
Practice Address - Zip Code:23507
Practice Address - Country:US
Practice Address - Phone:757-446-7436
Practice Address - Fax:757-446-7049
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-25
Last Update Date:2007-08-07
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
VA0101241016207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine