MEDICARE: MARINA BEHRAD MD

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
1	207Q00000X	Family Medicine Physician	01065336A	IN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	000000570800	OTHER	IN	ANTHEM
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1821267873
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARINA BEHRAD MD

Provider Business Mailing Address
First Line	:	10649 BENNETT PKWY
Second Line	:
City	:	ZIONSVILLE
State	:	IN
Zip	:	46077-7849
Country	:	US
Telephone Number	:	317-873-6700
Fax Number	:

Provider Business Practice Location Address
First Line	:	9460 E 146TH ST
Second Line	:
City	:	NOBLESVILLE
State	:	IN
Zip	:	46060-4966
Country	:	US
Telephone Number	:	317-338-9688
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/25/2008
Last Update Date	:	12/10/2025

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Directions to “ MARINA BEHRAD MD” Practice Location

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