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NPI Code Detail

MEDICARE: DR. MOHAMMAD ALI BEHNAM MD

MEDICARE:  DR. MOHAMMAD ALI BEHNAM  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
1207V00000XObstetrics & Gynecology PhysicianD19469MD

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1033195086
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MOHAMMAD ALI BEHNAM MD
Provider Business Mailing Address
First Line : 925 BISHOP WALSH RD
Second Line :
City : CUMBERLAND
State : MD
Zip : 21502-1845
Country : US
Telephone Number : 301-759-3924
Fax Number : 301-759-4632
Provider Business Practice Location Address
First Line : 925 BISHOP WALSH RD
Second Line :
City : CUMBERLAND
State : MD
Zip : 21502-1845
Country : US
Telephone Number : 301-759-3924
Fax Number : 301-759-4632
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/21/2005
Last Update Date : 07/10/2007

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Directions to “ DR. MOHAMMAD ALI BEHNAM MD” Practice Location

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