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General NPI Number Information
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NPI Number | 1568616084
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Entity Type | Individual
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Provider Name | GIOVANNI INSUASTI-BELTRAN M.D.
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Gender | Male
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Dates
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Enumeration Date | 11/11/2008
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Last Update Date | 07/19/2018
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Provider Practice Location Address
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Address Line | 4301 W MARKHAM ST # 783
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City | LITTLE ROCK
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State | AR
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Zip | 72205-7101
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Country | US
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Telephone | 501-686-8000
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Fax | 501-526-6562
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Provider Business Mailing Address
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Address Line | MEDICAL CENTER BLVD
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City | WINSTON SALEM
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State | NC
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Zip | 27157-0001
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Country | US
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Telephone | 336-716-2255
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Fax | 336-716-3202
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207ZP0102X
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Taxonomy Name | Anatomic Pathology & Clinical Pathology Physician
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License Number | R1436
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License Number State | KY
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Taxonomy #2
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Taxonomy Code | 207ZP0102X
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Taxonomy Name | Anatomic Pathology & Clinical Pathology Physician
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License Number | 2018-01704
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License Number State | NC
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Taxonomy #3
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Taxonomy Code | 207ZP0102X
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Taxonomy Name | Anatomic Pathology & Clinical Pathology Physician
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License Number | E-7967
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License Number State | AR
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