Individual
DR. MOHADESE BEHTAJ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
900 23RD ST NW, WASHINGTON, DC 20037-2342
(202) 677-6600
Mailing address
750 E ADAMS ST, SYRACUSE, NY 13210-2306
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
308728-01
NY
Other
Enumeration date
05/06/2015
Last updated
10/31/2022
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