Individual
DR. GEORGE BEHNAM ISAAC
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2140 JOHN F KENNEDY RD, SUITE B, DUBUQUE, IA 52002-3883
(563) 583-4848
(563) 690-1304
Mailing address
2140 JOHN F KENNEDY RD, SUITE B, DUBUQUE, IA 52002-3883
(563) 583-4848
(563) 690-1304
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
32128
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1159236
—
IA
01
—
35121
BLUE CROSS BLUE SHIELD
IA
Enumeration date
10/13/2005
Last updated
12/07/2007
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