Individual
EHSAN M HADI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6555 COYLE AVENUE, CARMICHAEL, CA 95608
(916) 536-3670
(916) 536-2480
Mailing address
3400 DATA DRIVE, PHYSICIAN SUPPPRT SERVICES, RANCHO CORDOVA, CA 95670-7956
(916) 379-2948
(916) 858-7065
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
A102040
CA
207Q00000X
Family Medicine Physician
BH8093320
AR
2084N0400X
Neurology Physician
Primary
A102040
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
149547001
—
AK
Enumeration date
09/26/2006
Last updated
01/11/2018
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