Provider Demographics
NPI:1275968075
Name:BESHI, BELINDA (PA)
Entity Type:Individual
Prefix:
First Name:BELINDA
Middle Name:
Last Name:BESHI
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:263 FARMINGTON AVE
Mailing Address - Street 2:
Mailing Address - City:FARMINGTON
Mailing Address - State:CT
Mailing Address - Zip Code:06030-2510
Mailing Address - Country:US
Mailing Address - Phone:860-679-6897
Mailing Address - Fax:860-679-5168
Practice Address - Street 1:263 FARMINGTON AVE
Practice Address - Street 2:
Practice Address - City:FARMINGTON
Practice Address - State:CT
Practice Address - Zip Code:06030-3308
Practice Address - Country:US
Practice Address - Phone:860-679-6897
Practice Address - Fax:860-679-5168
Is Sole Proprietor?:No
Enumeration Date:2013-09-11
Last Update Date:2022-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MAPA4821363A00000X, 363AS0400X
MAPA363AM0700X
CT003774363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
No363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical
No363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical