Individual
MRS. LALEH EHSANI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
11 UPPER RIVERDALE RD SW, RIVERDALE, GA 30274-2615
(678) 735-0175
Mailing address
1105 BRECKENRIDGE LN, ALPHARETTA, GA 30005-3767
(678) 735-0175
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
76332
GA
Other
Enumeration date
04/05/2011
Last updated
08/24/2016
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