MEDICARE: AHMAD BEHZADPOUR 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	390200000X	Student in an Organized Health Care Education/Training Program
2	207R00000X	Internal Medicine Physician	MD70052942	WA

General Provider Information

NPI Number	:	1508568312
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AHMAD BEHZADPOUR MD

Provider Business Mailing Address
First Line	:	333 BORTHWICK AVE
Second Line	:
City	:	PORTSMOUTH
State	:	NH
Zip	:	03801-7128
Country	:	US
Telephone Number	:	603-559-4129
Fax Number	:

Provider Business Practice Location Address
First Line	:	333 BORTHWICK AVE STE 100
Second Line	:
City	:	PORTSMOUTH
State	:	NH
Zip	:	03801-4198
Country	:	US
Telephone Number	:	603-559-4129
Fax Number	:

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

Provider Enumeration Date	:	03/17/2023
Last Update Date	:	05/27/2026

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