Individual
EHSAN ETHAN KHOLDEBARIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
DUKE UNIVERSITY HOSPITALS, DURHAM, NC 27710-0001
(919) 684-4439
Mailing address
1502 FAIRMONT ST, DURHAM, NC 27713-8983
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
165904
NC
Other
Enumeration date
04/23/2010
Last updated
04/23/2010
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