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NPI Code Detail

MEDICARE: GEORGE R BENEKE M.D.

MEDICARE: GEORGE R BENEKE M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208800000XUrology Physician11536WV

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1215932785
Entity Type Code : Individual
Provider Name (Legal Business Name) : GEORGE R BENEKE M.D.
Provider Business Mailing Address
First Line : 1540 SPRING VALLEY DR
Second Line :
City : HUNTINGTON
State : WV
Zip : 25704-9300
Country : US
Telephone Number : 304-429-6741
Fax Number : 304-429-0365
Provider Business Practice Location Address
First Line : 1540 SPRING VALLEY DR
Second Line :
City : HUNTINGTON
State : WV
Zip : 25704-9300
Country : US
Telephone Number : 304-429-6741
Fax Number : 304-429-0365
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/20/2005
Last Update Date : 04/29/2008

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