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Individual

DR. BEHDOD POUSHANCHI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
7300 SANDLAKE COMMONS BLVD STE 127, ORLANDO, FL 32819-8011
(321) 843-4344
(321) 842-4784
Mailing address
7300 SANDLAKE COMMONS BLVD STE 127, ORLANDO, FL 32819-8011
(321) 843-4344
(321) 842-4784

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
ME156323
FL
390200000X
Student in an Organized Health Care Education/Training Program
WV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
114533600
FL
Enumeration date
05/26/2016
Last updated
10/10/2022
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