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NPI Code Detail

MEDICARE: RICHARD A BEHAM M.D.

MEDICARE:   RICHARD A BEHAM  M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207RE0101XEndocrinology, Diabetes & Metabolism Physician35055885OH

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
4460003229OTHEROHMEDICARE RR

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
102043OTHEROHPARAMOUNT
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
34276722OTHEROHAETNA
5000000203483OTHEROHANTHEM

General Provider Information

NPI Number : 1568468023
Entity Type Code : Individual
Provider Name (Legal Business Name) : RICHARD A BEHAM M.D.
Provider Business Mailing Address
First Line : 2100 W CENTRAL AVE
Second Line : SUITE 100
City : TOLEDO
State : OH
Zip : 43606-3834
Country : US
Telephone Number : 419-537-5111
Fax Number : 419-537-5131
Provider Business Practice Location Address
First Line : 2100 W CENTRAL AVE
Second Line : SUITE 100
City : TOLEDO
State : OH
Zip : 43606-3834
Country : US
Telephone Number : 419-537-5111
Fax Number : 419-537-5131
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/21/2005
Last Update Date : 02/21/2014

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Directions to “ RICHARD A BEHAM M.D.” Practice Location

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