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NPI Code Detail

MEDICARE: DR. ROBERT LEONARD BESHANY MD

MEDICARE: DR. ROBERT LEONARD BESHANY MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine Physician26318CO

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1417926551
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ROBERT LEONARD BESHANY MD
Provider Business Mailing Address
First Line : 3141 CENTENNIAL BLVD
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80907-4094
Country : US
Telephone Number : 719-494-6160
Fax Number :
Provider Business Practice Location Address
First Line : 3141 CENTENNIAL BLVD
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80907-4094
Country : US
Telephone Number : 719-494-6160
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/14/2006
Last Update Date : 10/02/2019

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