Healthcare Provider Details

I. General information

NPI: 1225196371
Provider Name (Legal Business Name): NAVEEN K BEKKAM MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/04/2006
Last Update Date: 04/22/2025
Certification Date: 04/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

99 N BRICE RD STE 140
COLUMBUS OH
43213-6517
US

IV. Provider business mailing address

PO BOX 278
POWELL OH
43065-0278
US

V. Phone/Fax

Practice location:
  • Phone: 614-863-0013
  • Fax: 614-356-8540
Mailing address:
  • Phone: 614-892-5366
  • Fax: 614-356-8540

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number35.088943
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License Number35088943
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: