Healthcare Provider Details

I. General information

NPI: 1487608139
Provider Name (Legal Business Name): SHAWN T BEAMAN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 05/19/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 LOTHROP ST
PITTSBURGH PA
15213-2546
US

IV. Provider business mailing address

200 LOTHROP ST
PITTSBURGH PA
15213-2546
US

V. Phone/Fax

Practice location:
  • Phone: 412-647-3260
  • Fax: 412-647-0342
Mailing address:
  • Phone: 412-647-3087
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License NumberMD428472
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: