Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2086S0129X | Vascular Surgeon | MD62971 | TN |
NPI | 1063788248 |
---|---|
Provider Name | Ehsan Benrashid |
First Address | Chattanooga, TN 37403-2187 |
Second Address | Chattanooga, TN 37404-2624 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/04/2012 |
Last Update Date | 21/06/2021 |