Individual
ROBERT MICHAEL EHSANIPOOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
35 MONUMENT RD STE 202, YORK, PA 17403-5074
(717) 851-2722
(717) 851-3127
Mailing address
601 MEMORY LN, YORK, PA 17402-2231
(717) 851-1405
Taxonomy
Speciality
Code
Description
License number
State
207VM0101X
Maternal & Fetal Medicine Physician
Primary
MD477055
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036325100
—
MD
01
—
PENDING
MEDI-CAL
CA
Enumeration date
05/04/2007
Last updated
07/30/2024
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