Provider Demographics
NPI:1376618884
Name:BEIGHLEY, PAUL SAMUEL JR (MD)
Entity Type:Individual
Prefix:DR
First Name:PAUL
Middle Name:SAMUEL
Last Name:BEIGHLEY
Suffix:JR
Gender:M
Credentials:MD
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Mailing Address - Street 1:2401 E STREET NW
Mailing Address - Street 2:M MED QI SA 1
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20522-0102
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2401 E STREET NW
Practice Address - Street 2:M MED QI SA 1
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20522-0102
Practice Address - Country:US
Practice Address - Phone:202-663-2453
Practice Address - Fax:202-663-3247
Is Sole Proprietor?:No
Enumeration Date:2006-11-21
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
FLME 749392084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry