Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VF0040X | Female Pelvic Medicine and Reconstructive Surgeon | 54695 | AZ |
NPI | 1063937092 |
---|---|
Provider Name | Sadikah Behbehani |
First Address | Scottsdale, AZ 85259-5452 |
Second Address | Riverside, CA 92508-5077 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/08/2017 |
Last Update Date | 16/12/2019 |