Provider Demographics
NPI:1255386157
Name:BEHL, JYOTI (MD)
Entity type:Individual
Prefix:
First Name:JYOTI
Middle Name:
Last Name:BEHL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7525 GREENWAY CENTER DR
Mailing Address - Street 2:SUITE 315
Mailing Address - City:GREENBELT
Mailing Address - State:MD
Mailing Address - Zip Code:20770-3509
Mailing Address - Country:US
Mailing Address - Phone:301-441-1026
Mailing Address - Fax:301-263-7948
Practice Address - Street 1:7525 GREENWAY CENTER DR
Practice Address - Street 2:SUITE 315
Practice Address - City:GREENBELT
Practice Address - State:MD
Practice Address - Zip Code:20770-3509
Practice Address - Country:US
Practice Address - Phone:301-441-1026
Practice Address - Fax:301-263-7948
Is Sole Proprietor?:No
Enumeration Date:2006-05-23
Last Update Date:2023-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD356412084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD510091700Medicaid
MD522000188OtherTAX ID NO.
MD522000188OtherTAX ID NO.
MDE36476Medicare UPIN