Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | A104260 | CA |
N | 111NI0900X | Internist | A104260 | CA |
Y | 207RH0000X | Hematologist | 35.126934 | OH |
N | 207RH0003X | Hematology & Oncology | A104260 | CA |
NPI | 1053679217 |
---|---|
Provider Name | Gregory K. Behbehani |
First Address | Columbus, OH 43202-1559 |
Second Address | Columbus, OH 43210-1240 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/04/2012 |
Last Update Date | 28/12/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0138259 | (05) | OH |