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Individual

EHSAN RAJABIROSTAMI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1144 N ROAD ST, ELIZABETH CITY, NC 27909-3473
(847) 316-4000
Mailing address
SENTARA ALBEMARLE MEDICAL CENTER, 1144 N ROAD ST,, SENTARA ALBEMARLE MEDICAL CENTER, ELIZABETH CITY, NC 27909

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
0101274401
VA
207R00000X
Internal Medicine Physician
Primary
2018-02778
NC
208M00000X
Hospitalist Physician
0101274401
VA

Other

Enumeration date
11/11/2015
Last updated
05/20/2022
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