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Individual

MILAD BEHBAHANINIA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2 TAMPA GENERAL CIR, TAMPA, FL 33606-3571
(813) 821-8038
Mailing address
PO BOX 917770, ORLANDO, FL 32891-0001

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
60316
TN
208600000X
Surgery Physician
R74317
AZ
2086S0102X
Surgical Critical Care Physician
60316
TN
2086S0127X
Trauma Surgery Physician
Primary
ME155999
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
114533900
FL
05
93746
AZ
01
UQVWW
BCBS
FL
Enumeration date
06/02/2014
Last updated
09/02/2022
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