Individual
DR. MICHAEL A BEHFOROUZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
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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