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Individual

REZA EHSANIAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2211 LOMAS BLVD NE, ALBUQUERQUE, NM 87106-2719
(505) 272-1111
Mailing address
PO BOX 91902, ALBUQUERQUE, NM 87199-1902

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
MD2021-0789
NM
208D00000X
General Practice Physician
A155700
CA

Other

Enumeration date
05/01/2013
Last updated
04/12/2026
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