Provider Demographics
NPI:1245919158
Name:EHSANI, AMIR (MD)
Entity type:Individual
Prefix:MR
First Name:AMIR
Middle Name:
Last Name:EHSANI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:FLUSHING HOSPITAL MEDICAL CENTER
Mailing Address - Street 2:4500 PARSONS BOULEVARD, STE #415
Mailing Address - City:FLUSHING
Mailing Address - State:NY
Mailing Address - Zip Code:11355-2205
Mailing Address - Country:US
Mailing Address - Phone:718-670-5534
Mailing Address - Fax:718-670-3031
Practice Address - Street 1:FLUSHING HOSPITAL MEDICAL CENTER
Practice Address - Street 2:4500 PARSONS BOULEVARD, STE #415
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11355-2205
Practice Address - Country:US
Practice Address - Phone:718-670-5534
Practice Address - Fax:718-670-3031
Is Sole Proprietor?:No
Enumeration Date:2023-07-17
Last Update Date:2025-09-30
Deactivation Date:2024-02-21
Deactivation Code:
Reactivation Date:2025-09-30
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program