Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223X0400X | Orthodontists | 0401412905 | VA |
N | 1223X0400X | Orthodontists | 10078 | MA |
NPI | 1063669620 |
---|---|
Provider Name | Dr. Yugal Behl |
First Address | Portsmouth, VA 23704-3464 |
Second Address | Portsmouth, VA 23704-3464 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/08/2008 |
Last Update Date | 23/12/2014 |