Healthcare Provider Details

I. General information

NPI: 1356979413
Provider Name (Legal Business Name): BESHOY ADEL FAHMY MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/01/2020
Last Update Date: 08/09/2025
Certification Date: 08/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9109 STONY POINT DR FL 2
RICHMOND VA
23235-1979
US

IV. Provider business mailing address

PO BOX 980257
RICHMOND VA
23298-0257
US

V. Phone/Fax

Practice location:
  • Phone: 804-327-8018
  • Fax: 804-827-0670
Mailing address:
  • Phone: 804-828-9783
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208C00000X
TaxonomyColon & Rectal Surgery Physician
License Number0116040321
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: