Individual
DR. HAMID EHSANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2025 MORSE AVE DEPT OF, SACRAMENTO, CA 95825-2115
(916) 973-5000
Mailing address
100 GRAND ST, HOSPITAL OF CENTRAL CONNECTICUT, NEW BRITAIN, CT 06052
(860) 224-5675
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
042-0010229
VT
207P00000X
Emergency Medicine Physician
047405
CT
207P00000X
Emergency Medicine Physician
Primary
179463
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0RE5918
—
VT
05
—
30201072
—
NH
05
—
EH 0899011
—
OH
01
—
RE5918
MEDICARE ID #
NH
Enumeration date
01/21/2009
Last updated
08/06/2022
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