MEDICARE: BEDAS MEDICAL AND WELLNESS CENTER, PLLC

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
1	2084P0800X	Psychiatry Physician

General Provider Information

NPI Number	:	1518742535
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BEDAS MEDICAL AND WELLNESS CENTER, PLLC

Provider Business Mailing Address
First Line	:	7100 W 20TH AVE STE 214
Second Line	:
City	:	HIALEAH
State	:	FL
Zip	:	33016-1812
Country	:	US
Telephone Number	:	786-892-3327
Fax Number	:	786-937-6211

Provider Business Practice Location Address
First Line	:	7100 W 20TH AVE STE 214
Second Line	:
City	:	HIALEAH
State	:	FL
Zip	:	33016-1812
Country	:	US
Telephone Number	:	786-359-4852
Fax Number	:

Authorized Official
Title or Position	:	PROVIDER/OWNER
Name	:	DR. PERPETUA NNEKA EZEH-AIDEYAN
Credential	:	MD
Telephone Number	:	215-531-2848

Provider Enumeration Date	:	08/28/2023
Last Update Date	:	01/14/2026

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