Individual
MOHANNAD SAMY BEHAIRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
100 MICHIGAN ST NE STE A601, GRAND RAPIDS, MI 49503-2560
(616) 391-6243
Mailing address
3264 N EVERGREEN DR NE, GRAND RAPIDS, MI 49525-9746
(616) 459-7225
(616) 459-7271
Taxonomy
Speciality
Code
Description
License number
State
2085R0204X
Vascular & Interventional Radiology Physician
Primary
4351049656
MI
208600000X
Surgery Physician
4351049656
MI
Other
Enumeration date
04/08/2022
Last updated
07/09/2023
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