Behrad, Marina
Behrad, Marina is an individual health care provider with primary practice located at 10649 Bennett Pkwy , Zionsville IN 46077-7849. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Behrad, Marina can be contacted via phone (317) 873-6700.Contact Information
Primary practice address
10649 Bennett Pkwy
Zionsville IN 46077-7849
Phone: (317) 873-6700
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 01065336A | Indiana |
Profile Details
| NPI number | 1821267873 |
|---|---|
| LBN Legal business name | Behrad, Marina |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 25th, 2008 |
| Last updated | Jan 3rd, 2022 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1821267873 | NPPES |
| Indiana | Other | 000000570800 | ANTHEM |
| Indiana | MEDICAID | 200988440 | ANTHEM |
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