=====================================================
General NPI Number Information
=====================================================
NPI Number | 1306360581
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | BENISH CORPORATION
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 07/31/2017
-----------------------------------------------------
Last Update Date | 07/21/2022
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 953 S HIGH ST
-----------------------------------------------------
City | HARRISONBURG
-----------------------------------------------------
State | VA
-----------------------------------------------------
Zip | 22801-1636
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 540-437-0024
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 953 S HIGH ST
-----------------------------------------------------
City | HARRISONBURG
-----------------------------------------------------
State | VA
-----------------------------------------------------
Zip | 22801-1636
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 540-437-0024
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | SOHAIL AFRIDI
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 540-437-0024
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 344600000X
-----------------------------------------------------
Taxonomy Name | Taxi
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------