Provider Demographics
NPI:1235127028
Name:BEKIC, GEORGE P (DO)
Entity Type:Individual
Prefix:
First Name:GEORGE
Middle Name:P
Last Name:BEKIC
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4727 FRIENDSHIP AVE STE 180
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15224-1778
Mailing Address - Country:US
Mailing Address - Phone:412-235-5881
Mailing Address - Fax:412-235-5878
Practice Address - Street 1:4727 FRIENDSHIP AVE STE 180
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15224-1778
Practice Address - Country:US
Practice Address - Phone:412-235-5881
Practice Address - Fax:412-235-5878
Is Sole Proprietor?:No
Enumeration Date:2005-10-06
Last Update Date:2020-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOS010184L207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0017946450007Medicaid
NC690192PMedicaid
OH0074921Medicaid
WV3810021591Medicaid
NC2344619Medicare ID - Type Unspecified
OH0074921Medicaid
PAP01103407Medicare PIN
PA036940YBOTMedicare PIN
WV3810021591Medicaid
NC690192PMedicaid