Organization · NPI-2

Behnam Birgani DO PA

Family Medicine, Geriatric Medicine · Ft Lauderdale, FL

NPI number1083363048
StatusActive
Last updated in NPPESMar 18, 2022

Details

NPI
1083363048
Entity type
Organization (NPI-2)
Legal business name
Behnam Birgani DO PA
Organization subpart
No
Enumeration date
Mar 18, 2022
Certification date
Mar 7, 2022
Last updated
Mar 18, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207QG0300X Family Medicine, Geriatric Medicine––Yes

Practice location

4725 N Federal Hwy
Ft Lauderdale, FL 33308-4603

Phone 954-491-4888

Mailing address

4611 S University Dr
Davie, FL 33328-3817

Phone 954-491-4888

Authorized official

Behnam Birgani
Physician
9544914888

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