Individual
MR. BEHNAM BIRGANI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
4602 N FEDERAL HWY, FORT LAUDERDALE, FL 33308-5206
(954) 491-4888
(954) 202-0504
Mailing address
4611 S UNIVERSITY DR, DAVIE, FL 33328-3817
(954) 491-4888
Taxonomy
Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
OS0007073
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
249132
AVMED
FL
05
—
252376100
—
FL
01
—
27514
WELLCARE
FL
01
—
380001376
RAILROAD MEDICARE
FL
01
—
57293
BCBS
FL
01
—
8468488
MEDICARE NSC
FL
Enumeration date
10/18/2006
Last updated
02/28/2022
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