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Individual
EHSAN ETHAN KHOLDEBARIN
Active
Individual
EHSAN ETHAN KHOLDEBARIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
165904
NC
208D00000X
General Practice Physician
Primary
0101282285
VA
Other
Enumeration date
04/23/2010
Last updated
05/31/2026
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