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1043215494

NPI Code Detail

MEDICARE: DR. MICHAEL RAY BEHRE MD

MEDICARE: DR. MICHAEL RAY BEHRE 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	D16939	MD

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
8	010038096	OTHER	MD	MEDICARE RAILROAD #

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	41077101	OTHER	MD	BCBS MD PROVIDER #
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	H9310002	OTHER	MD	BCBS NCA #
4	814438	OTHER	MD	MAMSI LIFE & HEALTH #
5	521189978	OTHER	MD	CIGNA #
6	4141242	OTHER	MD	AETNA #
7	0100074	OTHER	MD	UNITED HEALTHCARE #
9	81692258	OTHER	MD	INFORMED #

General Provider Information

NPI Number	:	1043215494
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MICHAEL RAY BEHRE MD

Provider Business Mailing Address
First Line	:	PO BOX 20
Second Line	:
City	:	MIDDLETOWN
State	:	MD
Zip	:	21769-0020
Country	:	US
Telephone Number	:	301-371-9000
Fax Number	:	301-371-8905

Provider Business Practice Location Address
First Line	:	300 S CHURCH ST
Second Line	:
City	:	MIDDLETOWN
State	:	MD
Zip	:	21769-8043
Country	:	US
Telephone Number	:	301-371-9000
Fax Number	:	301-371-8905

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

Provider Enumeration Date	:	06/14/2005
Last Update Date	:	10/02/2009

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Directions to “ DR. MICHAEL RAY BEHRE MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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