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NPI Code Detail

MEDICARE: JAMES RICHARD BENKE DO

MEDICARE: JAMES RICHARD BENKE DO
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
1207RC0000XCardiovascular Disease Physician5151013716MI
2207RC0000XCardiovascular Disease PhysicianH0104268MD
3207R00000XInternal Medicine Physician5151013716MI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
15151013716OTHERMIMICHIGAN MEDICAL LICENSE

General Provider Information

NPI Number : 1376104869
Entity Type Code : Individual
Provider Name (Legal Business Name) : JAMES RICHARD BENKE DO
Provider Business Mailing Address
First Line : 520 UPPER CHESAPEAKE DR STE 201
Second Line :
City : BEL AIR
State : MD
Zip : 21014-4360
Country : US
Telephone Number : 443-643-3800
Fax Number : 443-643-3856
Provider Business Practice Location Address
First Line : 520 UPPER CHESAPEAKE DR STE 201
Second Line :
City : BEL AIR
State : MD
Zip : 21014-4360
Country : US
Telephone Number : 410-598-8188
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/25/2019
Last Update Date : 12/15/2025

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