Provider Demographics
NPI:1629244090
Name:BOZORGNIA, BEHNAM (MD)
Entity Type:Individual
Prefix:DR
First Name:BEHNAM
Middle Name:
Last Name:BOZORGNIA
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:5501 OLD YORK RD
Mailing Address - Street 2:MOSS BUILDING, THIRD FLOOR
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19141-3018
Mailing Address - Country:US
Mailing Address - Phone:215-456-3930
Mailing Address - Fax:215-456-1432
Practice Address - Street 1:5501 OLD YORK RD
Practice Address - Street 2:MOSS BUILDING, THIRD FLOOR
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19141-3018
Practice Address - Country:US
Practice Address - Phone:215-456-3930
Practice Address - Fax:215-456-1432
Is Sole Proprietor?:No
Enumeration Date:2008-05-05
Last Update Date:2023-08-08
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Provider Licenses
StateLicense IDTaxonomies
PAMD427109207RC0000X, 207RA0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RA0001XAllopathic & Osteopathic PhysiciansInternal MedicineAdvanced Heart Failure and Transplant Cardiology
No207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease