Provider Demographics
NPI:1700306115
Name:SALARI, BEHZAD (MD)
Entity type:Individual
Prefix:
First Name:BEHZAD
Middle Name:
Last Name:SALARI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2800 PLYMOUTH RD BLDG 35
Mailing Address - Street 2:
Mailing Address - City:ANN ARBOR
Mailing Address - State:MI
Mailing Address - Zip Code:48109-2800
Mailing Address - Country:US
Mailing Address - Phone:734-232-5490
Mailing Address - Fax:
Practice Address - Street 1:3445 WASHINGTON DR STE 207
Practice Address - Street 2:
Practice Address - City:EAGAN
Practice Address - State:MN
Practice Address - Zip Code:55122-4303
Practice Address - Country:US
Practice Address - Phone:833-372-5274
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-06-27
Last Update Date:2025-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2017015273207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology