Individual
MAHTA ROUHANI BINAYAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
12221 RENFERT WAY STE 330, AUSTIN, TX 78758
(512) 425-3825
Mailing address
12221 RENFERT WAY STE 330, AUSTIN, TX 78758-5374
(713) 756-8374
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
BP10051200
TX
207V00000X
Obstetrics & Gynecology Physician
Primary
R6888
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8JT560
BCBS TEXAS
TX
Enumeration date
05/13/2014
Last updated
08/24/2018
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