Individual
SOROUSH BEHNAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9250 AMBERTON PKWY, DALLAS, TX 75243-3224
(682) 236-3656
Mailing address
4300 CITY POINT DR STE 200, NORTH RICHLAND HILLS, TX 76180-8380
(817) 255-1940
(469) 713-8379
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
L7663
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
168068801
—
TX
05
—
168068802
—
TX
05
—
168068803
—
TX
05
—
168068804
—
TX
05
—
168068806
—
TX
05
—
168068807
—
TX
05
—
168068808
—
TX
05
—
168068809
—
TX
05
—
179478601
—
TX
Enumeration date
07/23/2006
Last updated
03/10/2022
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