Individual
DR. BEHNAM HEIDARI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, MPH
Contact information
Practice address
200 BLOSSOM ST, WEBSTER, TX 77598-4204
(281) 332-3001
Mailing address
18333 EGRET BAY BLVD STE 140, HOUSTON, TX 77058-3239
(281) 332-3001
(281) 332-3005
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
T4527
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
441160501
—
TX
05
—
441160502
—
TX
Enumeration date
03/29/2019
Last updated
05/06/2024
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