# MICHAEL A BELFORT

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1184618753
- **Gender:** Man
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | 84221 | GA | — |
| 207V00000X | Obstetrics & Gynecology Physician | C52836 | CA | — |
| 207V00000X | Obstetrics & Gynecology Physician | J2928 | TX | — |
| 207VM0101X | Maternal & Fetal Medicine Physician | 84221 | GA | — |
| 207VM0101X | Maternal & Fetal Medicine Physician | C52836 | CA | — |
| 207VM0101X | Maternal & Fetal Medicine Physician | J2928 | TX | Yes |

## Other

- **Enumeration date:** 09/09/2005
- **Last updated:** 04/19/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 200134010A | — | OK |
| 05 | — | 30433711 | — | CO |
| 01 | — | 342000-1205 | MEDICAL LICENSE | UT |
| 01 | — | J2928 | MEDICAL LICENSE | TX |
| 01 | — | M9281 | MEDICAL LICENSE | ID |
