Individual
DR. MITRA EHSAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1231 116TH AVE NE STE 930, BELLEVUE, WA 98004-3804
(425) 688-1916
(425) 688-1901
Mailing address
1231 116TH AVE NE STE 930, BELLEVUE, WA 98004-3804
(425) 688-1916
(425) 688-1901
Taxonomy
Speciality
Code
Description
License number
State
208C00000X
Colon & Rectal Surgery Physician
Primary
MD
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2078313
—
WA
Enumeration date
07/23/2006
Last updated
08/17/2023
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