# ENDOCRINE & DIABETES CARE CENTER INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1720177314
- **Authorized official:** DR. RICHARD A BEHAM M.D. (PRESIDENT)
- **Authorized official phone:** (419) 537-5111

## Contact information

- **Practice address:** 2100 W CENTRAL AVE, SUITE 100, TOLEDO, OH 43606-3834
- **Practice address phone:** (419) 537-5111
- **Practice address fax:** (419) 537-5131
- **Mailing address:** 2100 W CENTRAL AVE, SUITE 100, TOLEDO, OH 43606-3834
- **Mailing address phone:** (419) 537-5111
- **Mailing address fax:** (419) 537-5131

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | — | — | Yes |

## Other

- **Enumeration date:** 10/12/2006
- **Last updated:** 10/22/2019

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 000000203474 | ANTHEM | OH |
| 05 | — | 2267452 | — | OH |
| 01 | — | CH8143 | MEDICARE RR NUMBER | OH |