Individual
DR. ALI EBRAHIMI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3100 W LAKE ST, SUITE 210, MINNEAPOLIS, MN 55416-4527
(612) 925-6033
(612) 925-8496
Mailing address
3100 W LAKE ST, SUITE 210, MINNEAPOLIS, MN 55416-4527
(612) 925-6033
(612) 925-8496
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
41161
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01020059
PREFERRED ONE
MN
01
—
114178
UCARE
MN
01
—
1531615
MEDICA CHOICE
MN
01
—
411425197
CIGNA BEHAVIORAL HEALTH
MN
01
—
42F45EB
BCBS
MN
05
—
842220600
—
MN
01
—
HP26776
HEALTHPARTNERS
MN
01
—
P00284517
RR MEDICARE
MN
Enumeration date
11/10/2006
Last updated
03/07/2023
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