Healthcare Provider Details

I. General information

NPI: 1952741548
Provider Name (Legal Business Name): BESHER SADAT M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/27/2013
Last Update Date: 06/12/2025
Certification Date: 06/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

670 LAWN AVE STE 3A
SELLERSVILLE PA
18960-1571
US

IV. Provider business mailing address

670 LAWN AVE STE 3A
SELLERSVILLE PA
18960-1571
US

V. Phone/Fax

Practice location:
  • Phone: 215-257-9500
  • Fax:
Mailing address:
  • Phone: 215-257-9500
  • Fax: 215-257-3578

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number4301102781
License Number StateMI
# 2
Primary TaxonomyN
Taxonomy Code207RA0001X
TaxonomyAdvanced Heart Failure and Transplant Cardiology Physician
License NumberBP10074365
License Number StateTX
# 3
Primary TaxonomyN
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License Number4301102781
License Number StateMI
# 4
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number4301102781
License Number StateMI
# 5
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License NumberMD469954
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: