Provider Demographics
NPI:1902859275
Name:BEHAIRY, AHMED SOLIMAN (MD)
Entity Type:Individual
Prefix:DR
First Name:AHMED
Middle Name:SOLIMAN
Last Name:BEHAIRY
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 1:1700 NW 49TH ST STE 125
Mailing Address - Street 2:
Mailing Address - City:FORT LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33309-3750
Mailing Address - Country:US
Mailing Address - Phone:954-355-4975
Mailing Address - Fax:954-355-5898
Practice Address - Street 1:1625 SE 3RD AVE STE 525
Practice Address - Street 2:
Practice Address - City:FT LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33316-2521
Practice Address - Country:US
Practice Address - Phone:954-355-4975
Practice Address - Fax:954-355-5898
Is Sole Proprietor?:No
Enumeration Date:2006-05-18
Last Update Date:2024-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301068939207RH0003X
GUM-1820207RH0003X
FLME117501207RH0003X, 207RX0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
No207RX0202XAllopathic & Osteopathic PhysiciansInternal MedicineMedical Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL110517300Medicaid
MI0530017OtherBLUE CROSS BLUE SHIELD
MI383322171OtherTAX ID
FL91O43OtherBCBS
FL016483000Medicaid
MI3309140Medicaid
MI830003821OtherRAILROAD MEDICARE GBA PIN
FL7178628OtherAETNA
FL1414917OtherWELLCARE-MEDICARE ONLY
FLP01751024OtherRR MEDICARE
FLP01751024OtherRR MEDICARE
MI0P20480002Medicare PIN
FLIL528YMedicare PIN