Behnam, Soroush

Behnam, Soroush is an individual health care provider with primary practice located at 9250 Amberton Pkwy , Dallas TX 75243-3224. He recently has only one registered license in Allopathic & Osteopathic Physicians / Geriatric Medicine, which is considered as his primary health care specialty. Behnam, Soroush can be contacted via phone (682) 236-3656.

Contact Information

Primary practice address
9250 Amberton Pkwy Dallas TX 75243-3224
Phone: (682) 236-3656
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Geriatric Medicine 207RG0300X L7663 Texas

Profile Details

NPI number 1710908744
LBN Legal business name Behnam, Soroush
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 23rd, 2006
Last updated Mar 10th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1710908744 NPPES
Texas MEDICAID 168068806
Texas MEDICAID 168068803
Texas MEDICAID 168068809
Texas MEDICAID 179478601
Texas MEDICAID 168068801
Texas MEDICAID 168068802
Texas MEDICAID 168068804
Texas MEDICAID 168068807
Texas MEDICAID 168068808

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