Provider Demographics
NPI:1841556131
Name:BEHERY, AHMED ATEF (MD)
Entity type:Individual
Prefix:DR
First Name:AHMED
Middle Name:ATEF
Last Name:BEHERY
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:101 LA RUE FRANCE
Mailing Address - Street 2:STE 500
Mailing Address - City:LAFAYETTE
Mailing Address - State:LA
Mailing Address - Zip Code:70508-3144
Mailing Address - Country:US
Mailing Address - Phone:765-751-5253
Mailing Address - Fax:765-282-8795
Practice Address - Street 1:2401 W UNIVERSITY AVE
Practice Address - Street 2:IU HEALTH BALL MEMORIAL PHY INFECTIOUS DISEASE
Practice Address - City:MUNCIE
Practice Address - State:IN
Practice Address - Zip Code:47303-3428
Practice Address - Country:US
Practice Address - Phone:765-741-1515
Practice Address - Fax:765-751-5087
Is Sole Proprietor?:Yes
Enumeration Date:2012-04-11
Last Update Date:2021-01-28
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Provider Licenses
StateLicense IDTaxonomies
390200000X
IN01075614A207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program