Individual provider · NPI-1

Nusrat Ahsan, M.D

Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology · Los Angeles, CA

NPI number1831392885
StatusActive
Last updated in NPPESApr 24, 2014

Details

NPI
1831392885
Entity type
Individual (NPI-1)
Name
Nusrat Ahsan
Credential
M.D
Sex
Female
Sole proprietor
Yes
Enumeration date
Jun 7, 2007
Last updated
Apr 24, 2014

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child NeurologyA92597CAYes
208000000X PediatricsA92597CA

Practice location

4650 W Sunset Blvd
Los Angeles, CA 90027-6062

Phone 323-361-2471

Mailing address

4650 W Sunset Blvd
Los Angeles, CA 90027-6062

Phone 323-361-2471

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