Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | ME69909 | FL |
N | 2080P0204X | Pediatric Emergency Doctor | ME69909 | FL |
Y | 2080P0210X | Pediatric Nephrologist | ME69909 | FL |
NPI | 1417985888 |
---|---|
Provider Name | Ashraf H Beharrie |
First Address | Plantation, FL 33317-3775 |
Second Address | Plantation, FL 33317-3775 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 28/06/2006 |
Last Update Date | 29/09/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
252076100 | (05) | FL |
G65331 | (02) | FL |