Provider Demographics
NPI:1528067204
Name:BEHLING, KAREN JUTTA (MD)
Entity type:Individual
Prefix:
First Name:KAREN
Middle Name:JUTTA
Last Name:BEHLING
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1352 MEBANE OAKS RD
Mailing Address - Street 2:
Mailing Address - City:MEBANE
Mailing Address - State:NC
Mailing Address - Zip Code:27302-9681
Mailing Address - Country:US
Mailing Address - Phone:919-635-8400
Mailing Address - Fax:919-563-8453
Practice Address - Street 1:1352 MEBANE OAKS RD
Practice Address - Street 2:
Practice Address - City:MEBANE
Practice Address - State:NC
Practice Address - Zip Code:27302-9681
Practice Address - Country:US
Practice Address - Phone:919-563-8400
Practice Address - Fax:919-563-8453
Is Sole Proprietor?:No
Enumeration Date:2005-07-15
Last Update Date:2023-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2004-01366208000000X
NC200401366207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC89138H3Medicaid
NC2036045Medicare ID - Type Unspecified
NCH25256Medicare UPIN