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:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1558580852 | NPPES |
| Missouri | MEDICAID | 207340605 | |
| Missouri | MEDICAID | 1558580852 | |
| Missouri | Other | 036124202 |
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