MARK THOMAS BEHNAM M.D. NPI 1992995591

NPI Information

NPI: 1992995591
Provider Name: MARK THOMAS BEHNAM, M.D.
Classification: Obstetrics & Gynecology - 207V00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
16000 JOHNSTON MEMORIAL DR STE 200
ABINGDON, VA
ZIP 24211
Phone: (276) 628-4335
Get Directions

Mark Thomas Behnam, M.D. is an obstetrics gynecology in Abingdon, VA. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. Mark Thomas Behnam, M.D. NPI is 1992995591. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

16000 JOHNSTON MEMORIAL DR STE 200
ABINGDON, VA
ZIP 24211-664
Phone: (276) 628-4335

The NPI 1992995591 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/30/2007 and was last updated on 10/31/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	License Number	License State	Primary
1	207V00000X	Obstetrics & Gynecology	MD60184340	WASHINGTON	No
2	207V00000X	Obstetrics & Gynecology	D0092046	MARYLAND	No
3	207V00000X	Obstetrics & Gynecology	036136070	ILLINOIS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0333366	OTHER	WASHINGTON	STATE L&I
2	406120	OTHER	ILLINOIS	MEDICARE PTAN FOR SCMG
3	F400204664	OTHER	ILLINOIS	MEDICARE INDIVIDUAL PTAN
4	0291725	OTHER	WASHINGTON	STATE L&I
5	036136070	MEDICAID	ILLINOIS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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