Individual
DR. EHSAN HAZRATI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
820 N CHELAN AVE, WENATCHEE, WA 98801-2028
(509) 663-8711
Mailing address
820 N CHELAN AVE, WENATCHEE, WA 98801-2028
(509) 663-8711
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
269717
NY
207R00000X
Internal Medicine Physician
Primary
MD60400017
WA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1578881736
—
WA
Enumeration date
05/12/2010
Last updated
01/05/2015
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