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Individual

BEHNAM LEE HATAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNP

Contact information

Practice address
4727 FRIENDSHIP AVE STE 200, PITTSBURGH, PA 15224-1778
(412) 235-5810
Mailing address
101 STELLA DR, TRAFFORD, PA 15085-1620
(724) 516-4495

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
SP020947
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1037627050003
PA
01
CA3219
PALMETTO GBA - RAILROAD MEDICARE
PA
Enumeration date
10/30/2019
Last updated
07/22/2025
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