Individual
AMIR BABAK BEHNAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2610 KEISER BLVD, WYOMISSING, PA 19610-3333
(484) 628-9127
Mailing address
PO BOX 13579, READING, PA 19612-3579
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
MD435632
PA
2086S0105X
Surgery of the Hand (Surgery) Physician
25MA07782200
NJ
2086S0105X
Surgery of the Hand (Surgery) Physician
MD435632
PA
2086S0122X
Plastic and Reconstructive Surgery Physician
25MA07782200
NJ
2086S0122X
Plastic and Reconstructive Surgery Physician
MD435632
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102209241
—
PA
Enumeration date
04/19/2006
Last updated
03/26/2021
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