Basic Information
| Provider Information | |||||||||
| NPI: | 1720213077 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | BEHBAHANI | ||||||||
| FirstName: | KATAYOUN | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1101 VETERANS DR | ||||||||
| Address2: | VETERANS AFFAIR MEDICAL CENTER | ||||||||
| City: | LEXINGTON | ||||||||
| State: | KY | ||||||||
| PostalCode: | 40502 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8592334511 | ||||||||
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| Practice Location | |||||||||
| Address1: | 1101 VETERANS DRIVE | ||||||||
| Address2: | DEPARTMENT OF VETERANS AFFAIRS MEDICAL CENTER | ||||||||
| City: | LEXINGTON | ||||||||
| State: | KY | ||||||||
| PostalCode: | 40502 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8592334511 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 05/15/2009 | ||||||||
| LastUpdateDate: | 09/07/2016 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207R00000X | 44967 | KY | Y | Allopathic & Osteopathic Physicians | Internal Medicine |
No ID Information.