Basic Information
| Provider Information | |||||||||
| NPI: | 1427144450 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | BESHAH | ||||||||
| FirstName: | LEALEM | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 60447 | ||||||||
| Address2: | |||||||||
| City: | CHARLOTTE | ||||||||
| State: | NC | ||||||||
| PostalCode: | 282600447 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9803023050 | ||||||||
| FaxNumber: | 9803023055 | ||||||||
| Practice Location | |||||||||
| Address1: | 8201 HEALTHCARE LOOP STE 305 | ||||||||
| Address2: | |||||||||
| City: | CHARLOTTE | ||||||||
| State: | NC | ||||||||
| PostalCode: | 28215 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9803023050 | ||||||||
| FaxNumber: | 9803023055 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 10/05/2006 | ||||||||
| LastUpdateDate: | 10/26/2020 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 09/06/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207R00000X | 2015-02296 | NC | N | Allopathic & Osteopathic Physicians | Internal Medicine | 208M00000X | 2015-02296 | NC | Y | Allopathic & Osteopathic Physicians | Hospitalist |
No ID Information.