Dianati, Behfar

Dianati, Behfar is an individual health care provider with primary practice located at 4550 Memorial Dr Ste. 340, Belleville IL 62226-5372. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Dianati, Behfar can be contacted via phone (618) 257-6200.

Contact Information

Primary practice address
4550 Memorial Dr Ste. 340 Belleville IL 62226-5372
Phone: (618) 257-6200
Fax: (618) 257-6679
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 036124202 Illinois
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 036124202 Illinois

Profile Details

NPI number 1558580852
LBN Legal business name Dianati, Behfar
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 25th, 2007
Last updated Mar 20th, 2014 - about 10 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 1558580852 NPPES
Missouri MEDICAID 207340605
Missouri MEDICAID 1558580852
Missouri Other 036124202

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