Isaac, George Behnam

Isaac, George Behnam is an individual health care provider with primary practice located at 2140 John F Kennedy Rd Suite B, Dubuque IA 52002-3883. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Isaac, George Behnam can be contacted via phone (563) 583-4848.

Contact Information

Primary practice address
2140 John F Kennedy Rd Suite B Dubuque IA 52002-3883
Fax: (563) 690-1304
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 32128 Iowa

Profile Details

NPI number 1588652416
LBN Legal business name Isaac, George Behnam
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 13th, 2005
Last updated Dec 7th, 2007 - about 18 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 1588652416 NPPES
Iowa Other 35121 BLUE CROSS BLUE SHIELD
Iowa MEDICAID 1159236 BLUE CROSS BLUE SHIELD

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