Individual
EBRAHIM VERSI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6585 CITY WEST PKWY, EDEN PRAIRIE, MN 55344-3248
(908) 698-2390
Mailing address
11 SHEEPHILL DR, GLADSTONE, NJ 07934-2131
(908) 698-2390
Taxonomy
Speciality
Code
Description
License number
State
207VX0201X
Gynecologic Oncology Physician
Primary
81853
MA
Other
Enumeration date
08/27/2006
Last updated
07/08/2007
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