Individual
BEHJAT KOUCHEKZADEH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3581 S HIGHLANDS AVE, SEBRING, FL 33870-5410
(863) 385-5128
(863) 385-7162
Mailing address
3581 S HIGHLANDS AVE, SEBRING, FL 33870-5410
(863) 385-5128
(863) 385-7162
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
ME45824
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2555166
—
FL
01
—
ME45824
LICENSE
FL
Enumeration date
07/16/2006
Last updated
07/08/2007
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