Provider Demographics
NPI:1356814545
Name:BESHAY FOOT AND ANKLE FAMILY CLINIC EMC LLC
Entity Type:Organization
Organization Name:BESHAY FOOT AND ANKLE FAMILY CLINIC EMC LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DPM
Authorized Official - Prefix:
Authorized Official - First Name:EMAD
Authorized Official - Middle Name:S
Authorized Official - Last Name:BESHAY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:412-260-3664
Mailing Address - Street 1:2616 PATRICE CT
Mailing Address - Street 2:
Mailing Address - City:MURRYSVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:15668-1756
Mailing Address - Country:US
Mailing Address - Phone:412-260-3664
Mailing Address - Fax:267-790-0466
Practice Address - Street 1:2616 PATRICE CT
Practice Address - Street 2:
Practice Address - City:MURRYSVILLE
Practice Address - State:PA
Practice Address - Zip Code:15668-1756
Practice Address - Country:US
Practice Address - Phone:412-260-3664
Practice Address - Fax:267-790-0466
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-01-10
Last Update Date:2023-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213EP1101XPodiatric Medicine & Surgery Service ProvidersPodiatristPrimary Podiatric MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PASC006608OtherSTATE LICENSE