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NPI Code Detail

MEDICARE: NAVEEN R BETHI M.D.

MEDICARE:   NAVEEN R BETHI  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
1207Q00000XFamily Medicine Physician21344SC

Other Identifiers

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

General Provider Information

NPI Number : 1952330011
Entity Type Code : Individual
Provider Name (Legal Business Name) : NAVEEN R BETHI M.D.
Provider Business Mailing Address
First Line : PO BOX 721
Second Line :
City : MAULDIN
State : SC
Zip : 29662-0721
Country : US
Telephone Number : 864-299-1990
Fax Number : 864-299-9123
Provider Business Practice Location Address
First Line : 545W BUTLER RD
Second Line :
City : GREENVILLE
State : SC
Zip : 29607-4833
Country : US
Telephone Number : 864-299-1990
Fax Number : 864-299-9123
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/01/2006
Last Update Date : 07/20/2022

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Directions to “ NAVEEN R BETHI M.D.” Practice Location

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