Whalio Doctors

NPI 1104282359

Katayoon Baradaran Ebrahimi, MD

Practitioner Ophthalmology Physician Fargo, ND

Practice location

Address
1717 University Dr S, Fargo, ND 58103-4939
Phone
(701) 461-5100
Mailing address
PO Box 5074, Sioux Falls, SD 57117-5074

Registered specialties (3)

Ophthalmology Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 207W00000X Licence 18004 (ND)
Ophthalmology Physician
Allopathic & Osteopathic Physicians Taxonomy 207W00000X Licence 2016-01788 (NC)
Ophthalmology Physician
Allopathic & Osteopathic Physicians Taxonomy 207W00000X Licence MD463064 (PA)

Registry record

NPI
1104282359
Entity type
Individual
Sex (as registered)
Female
NPI issued
4 Jan 2016
Record last updated
13 Jun 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.