Provider Demographics
NPI:1316040876
Name:BESH, BASIL RASHAD (MD)
Entity Type:Individual
Prefix:DR
First Name:BASIL
Middle Name:RASHAD
Last Name:BESH
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:BASIL
Other - Middle Name:RASHAD
Other - Last Name:ELBESHBESHY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:39180 FARWELL DR
Mailing Address - Street 2:SUITE 211
Mailing Address - City:FREMONT
Mailing Address - State:CA
Mailing Address - Zip Code:94538-1052
Mailing Address - Country:US
Mailing Address - Phone:510-857-1000
Mailing Address - Fax:510-857-1001
Practice Address - Street 1:39180 FARWELL DR
Practice Address - Street 2:SUITE 211
Practice Address - City:FREMONT
Practice Address - State:CA
Practice Address - Zip Code:94538-1052
Practice Address - Country:US
Practice Address - Phone:510-857-1000
Practice Address - Fax:510-857-1001
Is Sole Proprietor?:No
Enumeration Date:2006-09-07
Last Update Date:2013-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA83582207XS0106X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XS0106XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryHand Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAZZZ28101ZOtherMEDICARE GROUP NUMBER
CA00A835820Medicaid
CAZZZ28101ZOtherMEDICARE GROUP NUMBER
CA00A835820Medicaid
H71848Medicare UPIN