Organization Active NPI

M S Behairy M D P a

  • Internal Medicine Physician
  • Plantation, FL
National Provider Identifier
1699897553
Registry record updated Aug 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME0046368 Issued in FL
Legal business name
M S BEHAIRY M D P A
Practice address
817 South University Drive
Suite #104
Plantation, FL 33324
Phone
(954) 476-9404
Fax
(954) 476-9331
NPI assigned
Apr 4, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2008

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

Authorized official

Name
Mohamed S Behairy, MD
Title
Owner President
Phone
(954) 476-9404

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X ME0046368 FL Primary

Addresses

Primary practice location

817 South University Drive
Suite #104
Plantation, FL 33324

Mailing address

817 South University Drive
Suite #104
Plantation, FL 33324
Phone (954) 476-9404

National Provider Directory

National Provider Directory

Locations

817 S University Dr
Ste 104
Plantation, FL 33324
Phone (954) 476-9404

NPI Registry JSON

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

{
    "created_epoch": "1175644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218758400000",
    "number": "1699897553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "817 SOUTH UNIVERSITY DRIVE",
            "address_2": "SUITE #104",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "33324",
            "telephone_number": "954-476-9404",
            "fax_number": "954-476-9331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "817 SOUTH UNIVERSITY DRIVE",
            "address_2": "SUITE #104",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "33324",
            "telephone_number": "954-476-9404",
            "fax_number": "954-476-9331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M S BEHAIRY M D P A",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-04",
        "last_updated": "2008-08-15",
        "status": "A",
        "authorized_official_last_name": "BEHAIRY",
        "authorized_official_first_name": "MOHAMED",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER PRESIDENT",
        "authorized_official_telephone_number": "954-476-9404",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME0046368",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plantation, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2008; 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.