| Behnawa Pllc | |
|
1500 Avenue H Ely NV 89301-2615 | |
| (702) 453-3799 | |
| (702) 453-5741 |
| Full Name | Behnawa Pllc |
|---|---|
| Speciality | Hospitalist |
| Location | 1500 Avenue H, Ely, Nevada |
| Authorized Official Name and Position | Lori Labrecque (ACCTS MGR) |
| Authorized Official Contact | 7024533799 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Behnawa Pllc 1402 Lake Tapps Pkwy Se Ste 104-288 Auburn WA 98092-8157 Ph: (702) 453-3799 | Behnawa Pllc 1500 Avenue H Ely NV 89301-2615 Ph: (702) 453-3799 |
| NPI Number | 1689912107 |
|---|---|
| Provider Enumeration Date | 01/17/2013 |
| Last Update Date | 09/12/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689912107 | NPI | - | NPPES |
| 14179 | Other | NV | NV LIC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 14179 (Nevada) | Secondary |
| 208M00000X | Hospitalist | 14179 (Nevada) | Primary |
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