Provider Demographics
NPI:1093954224
Name:BEKEN, EMRE (MD)
Entity Type:Individual
Prefix:
First Name:EMRE
Middle Name:
Last Name:BEKEN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:255 W LANCASTER AVE
Mailing Address - Street 2:
Mailing Address - City:PAOLI
Mailing Address - State:PA
Mailing Address - Zip Code:19301-1763
Mailing Address - Country:US
Mailing Address - Phone:484-565-1513
Mailing Address - Fax:
Practice Address - Street 1:255 W LANCASTER AVE
Practice Address - Street 2:
Practice Address - City:PAOLI
Practice Address - State:PA
Practice Address - Zip Code:19301-1763
Practice Address - Country:US
Practice Address - Phone:484-565-1513
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-02-11
Last Update Date:2021-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD061390L207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAP00718795OtherRR MEDICARE - LOWER BUCKS
PA0741275000OtherKEYSTONE HEALTH PLAN EAST
PA102278982 0002Medicaid
PA30060505OtherKEYSTONE MERCY-LOWER BUCKS GROUP
PA30060287OtherKEYSTONE MERCY
PA602383OtherHIGHMARK BLUE SHIELD
PAP00765980OtherRR MEDICARE - BUCKS
PA036091ZDKTMedicare PIN
PA0741275000OtherKEYSTONE HEALTH PLAN EAST