Individual
DR. HASSAN BEHNIAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
6500 HOSPITAL DR, HANNIBAL, MO 63401-6890
(573) 629-3463
(573) 629-3414
Mailing address
PO BOX 1239, 6500 HOSPITAL DRIVE, HANNIBAL, MO 63401-1239
(573) 629-3463
(573) 629-3414
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
2016011742
MO
207R00000X
Internal Medicine Physician
21402
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01602393
—
MS
01
—
12076921
CAQH ID#
MS
01
—
9175675
AETNA
MS
Enumeration date
08/03/2008
Last updated
10/20/2016
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