Organization Active NPI

Behzad Razavi, MD, PA

  • Infectious Disease Physician
  • Santa Rosa Beach, FL
National Provider Identifier
1366854317
Registry record updated May 27, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
ME113682 Issued in FL
Legal business name
BEHZAD RAZAVI, MD, PA
Practice address
870 Mack Bayou Rd
Santa Rosa Beach, FL 32459-7150
Phone
(850) 830-9452
NPI assigned
May 27, 2014
Last updated
May 27, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 27, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Behzad Razavi, MD
Title
Owner
Phone
(850) 830-9452

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RI0200X ME113682 FL Primary

Addresses

Primary practice location

870 Mack Bayou Rd
Santa Rosa Beach, FL 32459-7150

Mailing address

755 Grand Blvd
Suite B105-195
Miramar Beach, FL 32550-1838

National Provider Directory

National Provider Directory

Locations

755 Grand Blvd
Ste B105195
Miramar Beach, FL 32550

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1401148800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1401148800000",
    "number": "1366854317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "755 GRAND BLVD",
            "address_2": "SUITE B105-195",
            "city": "MIRAMAR BEACH",
            "state": "FL",
            "postal_code": "325501838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "870 MACK BAYOU RD",
            "city": "SANTA ROSA BEACH",
            "state": "FL",
            "postal_code": "324597150",
            "telephone_number": "850-830-9452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEHZAD RAZAVI, MD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-27",
        "last_updated": "2014-05-27",
        "status": "A",
        "authorized_official_last_name": "RAZAVI",
        "authorized_official_first_name": "BEHZAD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "850-830-9452",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "FL",
            "license": "ME113682",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Rosa Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.