| Shaida Behnam Md Inc | |
|
1010 Cass St Ste D3 Monterey CA 93940 | |
| (831) 901-3691 | |
| (831) 901-3706 |
| Full Name | Shaida Behnam Md Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1010 Cass St Ste D3, Monterey, California |
| Authorized Official Name and Position | Shaida Behnam (OWNER) |
| Authorized Official Contact | 9256401980 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Shaida Behnam Md Inc 1010 Cass St Ste D3 Monterey CA 93940-4515 Ph: (831) 901-3691 | Shaida Behnam Md Inc 1010 Cass St Ste D3 Monterey CA 93940 Ph: (831) 901-3691 |
| NPI Number | 1174078315 |
|---|---|
| Provider Enumeration Date | 08/17/2016 |
| Last Update Date | 08/31/2018 |
| Medicare PECOS PAC ID | 7719269265 |
|---|---|
| Medicare Enrollment ID | O20170118002814 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174078315 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | A82694 (California) | Primary |
| Provider Name | Shaida Behnam |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114016169 PECOS PAC ID: 7719043587 Enrollment ID: I20090303000095 |
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