Provider Demographics
NPI:1134137060
Name:JYOTI BEHL MD PA
Entity Type:Organization
Organization Name:JYOTI BEHL MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHIATRIST OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JYOTI
Authorized Official - Middle Name:
Authorized Official - Last Name:BEHL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:301-441-1026
Mailing Address - Street 1:7525 GREENWAY CENTER DRIVE
Mailing Address - Street 2:STE 315
Mailing Address - City:GREENBELT
Mailing Address - State:MD
Mailing Address - Zip Code:20770
Mailing Address - Country:US
Mailing Address - Phone:301-441-1026
Mailing Address - Fax:301-441-4631
Practice Address - Street 1:7525 GREENWAY CENTER DRIVE
Practice Address - Street 2:STE 315
Practice Address - City:GREENBELT
Practice Address - State:MD
Practice Address - Zip Code:20770
Practice Address - Country:US
Practice Address - Phone:301-441-1026
Practice Address - Fax:301-441-4631
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-04
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD05867104100000X
MDD356412084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Multi-Specialty
Not Answered2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
DCG01450Medicare ID - Type Unspecified