Individual
MEHRDAD BEHNIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2845 GREENBRIER RD, GREEN BAY, WI 54311-6519
(920) 288-8000
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(800) 326-2250
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
049611
GA
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
ME127385
FL
207RP1001X
Pulmonary Disease Physician
049611
GA
207RP1001X
Pulmonary Disease Physician
Primary
84176-20
WI
207RP1001X
Pulmonary Disease Physician
ME127385
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000895111D
—
GA
05
—
000895111F
—
GA
05
—
100287885
—
WI
01
—
1134101413
NPI NUMBER
GA
05
—
G49611
—
SC
Enumeration date
11/14/2005
Last updated
11/06/2024
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