Provider Demographics
NPI:1558337329
Name:BEOHAR, NIRAT (MD)
Entity Type:Individual
Prefix:
First Name:NIRAT
Middle Name:
Last Name:BEOHAR
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4300 ALTON RD.
Mailing Address - Street 2:SUITE 2070
Mailing Address - City:MIAMI BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33140-2800
Mailing Address - Country:US
Mailing Address - Phone:305-674-2690
Mailing Address - Fax:305-674-2693
Practice Address - Street 1:4300 ALTON RD.
Practice Address - Street 2:SUITE 2070
Practice Address - City:MIAMI BEACH
Practice Address - State:FL
Practice Address - Zip Code:33140-2800
Practice Address - Country:US
Practice Address - Phone:305-674-2690
Practice Address - Fax:305-674-2693
Is Sole Proprietor?:No
Enumeration Date:2006-02-23
Last Update Date:2012-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036098539207RC0000X
FLME110992207RI0011X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0011XAllopathic & Osteopathic PhysiciansInternal MedicineInterventional Cardiology
No207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL004029500Medicaid
H03765Medicare UPIN
FL004029500Medicaid