Individual
MR. IRFAN AHSAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
191 S BUENA VISTA ST STE 235, BURBANK, CA 91505-4563
(818) 980-9393
(818) 654-3417
Mailing address
8510 BALBOA BLVD STE 150, NORTHRIDGE, CA 91325-5810
(818) 654-3400
(818) 654-3417
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
DPM200072
LA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00654772
—
MS
05
—
2333984
—
LA
Enumeration date
05/03/2013
Last updated
05/30/2019
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