NPI 1962592964 · live from the CMS NPI Registry
Garth Mervid Beache, M.D.
Radiology, Diagnostic Radiology in Louisville, KY. National Provider Identifier 1962592964, active.
NPI record
| NPI | 1962592964 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Radiology, Diagnostic Radiology 2085R0202X |
| Practice location | 530 S Jackson St, Suite C07, Louisville, KY 40202 |
| Practice phone | 502-852-5875 |
| Mailing address | Po Box 21249, Louisville, KY 40221 |
| Enumerated | October 13, 2006 |
| Last updated | February 9, 2009 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Radiology, Vascular & Interventional Radiology | 2085R0204X | D0051294 (MD) |
| Radiology, Diagnostic Radiology primary | 2085R0202X | 40968 (KY) |
| Radiology, Vascular & Interventional Radiology | 2085R0204X | 40968 (KY) |
| Radiology, Diagnostic Radiology | 2085R0202X | D0051294 (MD) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.