Provider Demographics
NPI:1912932088
Name:TOORKEY, BEHNAZ (MD)
Entity type:Individual
Prefix:
First Name:BEHNAZ
Middle Name:
Last Name:TOORKEY
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:PO BOX 8500-6335
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19178-0001
Mailing Address - Country:US
Mailing Address - Phone:215-807-8000
Mailing Address - Fax:215-807-8235
Practice Address - Street 1:3998 RED LION RD
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19114-1436
Practice Address - Country:US
Practice Address - Phone:215-612-4030
Practice Address - Fax:215-612-4431
Is Sole Proprietor?:No
Enumeration Date:2006-07-11
Last Update Date:2010-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD0488996207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0014419030001Medicaid
PA0014419030007Medicaid
PA761582OtherHIGHMARK BLUE SHIELD
PAPA0017665OtherTRICARE
PA2968422OtherAETNA CONTRACT
PA8704870000OtherKEYSTONE IBC
PA01441903-01OtherAMERICHOICE
PA1072451OtherKEYSTONE MERCY
PA220017962OtherRAILROAD MEDICARE
PA761582OtherPERSONAL CHOICE
PA0014419030002Medicaid
PA28898OtherHEALTH PARTNERS
PA6785901OtherCIGNA
PA0014419030001Medicaid
PAF78196Medicare UPIN