NPI 1508872052 · live from the CMS NPI Registry
Bethany Primary Care
Internal Medicine in Bethany Beach, DE. National Provider Identifier 1508872052, active.
NPI record
| NPI | 1508872052 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Internal Medicine 207R00000X |
| Practice location | 33188 Coastal Hwy, Suite 4, Bethany Beach, DE 19930 |
| Practice phone | 302-537-1100 |
| Enumerated | August 1, 2006 |
| Last updated | July 9, 2014 |
| Authorized official | Rajshekar Narasimaiah, Owner |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatry & Neurology, Psychiatry | 2084P0800X | C1-0009184 (DE) |
| Nurse Practitioner | 363L00000X | LG-0000463 (DE) |
| Nurse Practitioner | 363L00000X | LG-0000712 (DE) |
| Internal Medicine primary | 207R00000X | C1-0008098 (DE) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.