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Individual

DR. MICHAEL A BEHFOROUZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3985 W 106TH ST, STE 120, CARMEL, IN 46032-7778
(317) 334-4424
(317) 334-4425
Mailing address
3985 W 106TH ST, STE 120, CARMEL, IN 46032-7778
(317) 334-4424
(317) 334-4425

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
01046877
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000290437
ANTHEM
01
7590106
AETNA
IN
01
P00040763
RAILROAD RETIREMENT
Enumeration date
11/21/2005
Last updated
10/24/2008
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