Provider Demographics
NPI:1982155636
Name:BEHI, ABDULRAHMAN
Entity Type:Individual
Prefix:MR
First Name:ABDULRAHMAN
Middle Name:
Last Name:BEHI
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:115 WHITE HALL DR
Mailing Address - Street 2:APT D
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14616-5440
Mailing Address - Country:US
Mailing Address - Phone:585-633-9334
Mailing Address - Fax:
Practice Address - Street 1:115 WHITE HALL DR
Practice Address - Street 2:APT D
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14616-5440
Practice Address - Country:US
Practice Address - Phone:585-633-9334
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-10-18
Last Update Date:2016-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172A00000XOther Service ProvidersDriver
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY81-4040705OtherIRS