Individual
EHSAN-ULLAH KHAN DURRANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2500 N STATE STREET, JACKSON, MS 39216-4500
(601) 815-2869
(601) 815-9356
Mailing address
2500 N STATE STREET, JACKSON, MS 39216-4500
(601) 815-2869
(601) 815-9356
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
19208
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03184581
—
MS
01
—
9061200
AETNA
MS
01
—
P00716216
RAILROAD MEDICARE
MS
Enumeration date
07/08/2006
Last updated
03/21/2025
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