Provider Demographics
NPI:1992451421
Name:MEDSTREAMLINE LLC
Entity type:Organization
Organization Name:MEDSTREAMLINE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MOHAMED
Authorized Official - Middle Name:
Authorized Official - Last Name:HASSAN BEHERY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:833-968-7675
Mailing Address - Street 1:412 RIVER ST STE A
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29601-2613
Mailing Address - Country:US
Mailing Address - Phone:833-968-7675
Mailing Address - Fax:
Practice Address - Street 1:13600 S TRYON ST
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28278-7623
Practice Address - Country:US
Practice Address - Phone:864-420-8700
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-02-23
Last Update Date:2022-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0001XAllopathic & Osteopathic PhysiciansInternal MedicineClinical Cardiac ElectrophysiologyGroup - Multi-Specialty