MEDICARE: ADEELA BEG MD

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
1	208000000X	Pediatrics Physician	4301071088	MI

Other Identifiers

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

General Provider Information

NPI Number	:	1740336221
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ADEELA BEG MD

Provider Business Mailing Address
First Line	:	24001 ORCHARD LAKE ROAD,
Second Line	:	SUITE 150
City	:	FARMINGTON
State	:	MI
Zip	:	48336
Country	:	US
Telephone Number	:	248-661-0397
Fax Number	:

Provider Business Practice Location Address
First Line	:	24001 ORCHARD LAKE RD
Second Line	:	SUITE 150
City	:	FARMINGTON
State	:	MI
Zip	:	48336-2555
Country	:	US
Telephone Number	:	248-615-7029
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/26/2007
Last Update Date	:	12/13/2011

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