Organization
BEHNAM BIRGANI DO PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BEHNAM BIRGANI DO (PHYSICIAN)
(954) 491-4888
Entity
Organization
Contact information
Practice address
4602 N FEDERAL HWY, FORT LAUDERDALE, FL 33308-5206
(954) 491-4888
(954) 202-0504
Mailing address
4611 S UNIVERSITY DR, DAVIE, FL 33328, DAVIE, FL 33328-3817
(954) 491-4888
Taxonomy
Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
OS0007073
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
252376100
—
FL
01
—
380001376
RAILROAD MEDICARE
FL
01
—
57393
BCBS
FL
01
—
8468488
CIGNA
FL
Enumeration date
10/19/2006
Last updated
06/04/2014
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