| Behnam Birgani Do Pa | |
|
4602 N Federal Hwy Fort Lauderdale FL 33308-5206 | |
| (954) 491-4888 | |
| (954) 202-0504 |
| Full Name | Behnam Birgani Do Pa |
|---|---|
| Speciality | Family Medicine |
| Location | 4602 N Federal Hwy, Fort Lauderdale, Florida |
| Authorized Official Name and Position | Behnam Birgani (PHYSICIAN) |
| Authorized Official Contact | 9544914888 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Behnam Birgani Do Pa 4611 S University Dr Davie, Fl 33328 Davie FL 33328-3817 Ph: (954) 491-4888 | Behnam Birgani Do Pa 4602 N Federal Hwy Fort Lauderdale FL 33308-5206 Ph: (954) 491-4888 |
| NPI Number | 1619059995 |
|---|---|
| Provider Enumeration Date | 10/19/2006 |
| Last Update Date | 06/04/2014 |
| Medicare PECOS PAC ID | 2365408085 |
|---|---|
| Medicare Enrollment ID | O20041204000227 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619059995 | NPI | - | NPPES |
| 252376100 | Medicaid | FL | |
| 57393 | Other | FL | BCBS |
| 380001376 | Other | FL | RAILROAD MEDICARE |
| 8468488 | Other | FL | CIGNA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QG0300X | Family Medicine - Geriatric Medicine | OS0007073 (Florida) | Primary |
| Provider Name | Behnam Birgani |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942381512 PECOS PAC ID: 1850349101 Enrollment ID: I20090917000684 |
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