Individual provider · Type 1 NPI
Ebrahim Versi, MD
Gynecologic Oncology Physician · Eden Prairie, MN
NPI number
1184732406
Active
Practice location
6585 City West Pkwy
Eden Prairie, MN 55344-3248
Mailing address
11 Sheephill Dr
Gladstone, NJ 07934-2131
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Gynecologic Oncology Physician Primary | 207VX0201X | 81853 (MA) |
Gynecologic Oncology Physician: An obstetrician/gynecologist who provides consultation and comprehensive management of patients with gynecologic cancer, including those diagnostic and therapeutic procedures necessary for the total care of the patient with gynecologic cancer and resulting complications.
About NPI 1184732406
Ebrahim Versi, MD's National Provider Identifier is 1184732406, issued on Aug 27, 2006. The primary taxonomy on file is Gynecologic Oncology Physician (207VX0201X), and the practice location is in Eden Prairie, MN. The record was last updated on Jul 8, 2007.