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Individual
MARK THOMAS BEHNAM
Active
Individual
MARK THOMAS BEHNAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
036136070
IL
207V00000X
Obstetrics & Gynecology Physician
D0092046
MD
207V00000X
Obstetrics & Gynecology Physician
MD60184340
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0291725
STATE L&I
WA
01
—
0333366
STATE L&I
WA
05
—
036136070
—
IL
Enumeration date
07/30/2007
Last updated
08/07/2025
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