Ebrahim, Ayesha
Ebrahim, Ayesha is an individual health care provider with primary practice located at 1185 Town Centre Dr Suite 220, Eagan MN 55123-1187. She recently has only one registered license in Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism, which is considered as her primary health care specialty. Ebrahim, Ayesha can be contacted via phone (651) 379-1600.Contact Information
Primary practice address
1185 Town Centre Dr Suite 220
Eagan MN 55123-1187
Phone: (651) 379-1600
Fax: (651) 379-1650
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism | 207RE0101X | 44536 | Minnesota |
Profile Details
| NPI number | 1831144609 |
|---|---|
| LBN Legal business name | Ebrahim, Ayesha |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 23rd, 2006 |
| Last updated | Feb 21st, 2012 - about 14 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1831144609 | NPPES |
| Minnesota | Other | 33-00259 | MEDICA |
| Minnesota | Other | 2418104 | MEDICA |
| Minnesota | Other | 33-00259 | MEDICA |
| Minnesota | Other | HP51736 | MEDICA |
| Minnesota | Other | NA9521031165 | MEDICA |
| Minnesota | Other | 615K3EB | MEDICA |
| Minnesota | Other | 113138 | MEDICA |
| Minnesota | MEDICAID | 80483500 | MEDICA |
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