Provider Demographics
NPI:1952086258
Name:EHSAN, SARWAT (MBBS)
Entity type:Individual
Prefix:
First Name:SARWAT
Middle Name:
Last Name:EHSAN
Suffix:
Gender:F
Credentials:MBBS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:TIDALHEALTHINTERNAL MEDICINE RESIDENCY
Mailing Address - Street 2:100 E. CARROLL STREET
Mailing Address - City:SALISBURY
Mailing Address - State:MD
Mailing Address - Zip Code:21801
Mailing Address - Country:US
Mailing Address - Phone:410-543-7106
Mailing Address - Fax:
Practice Address - Street 1:TIDALHEALTHINTERNAL MEDICINE RESIDENCY
Practice Address - Street 2:100 E. CARROLL STREET
Practice Address - City:SALISBURY
Practice Address - State:MD
Practice Address - Zip Code:21801
Practice Address - Country:US
Practice Address - Phone:410-543-7106
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-06-15
Last Update Date:2023-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program