Provider Demographics
NPI:1578953329
Name:BENHAM, CLAUDE C (MD)
Entity Type:Individual
Prefix:
First Name:CLAUDE
Middle Name:C
Last Name:BENHAM
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:321 SIERRA DR
Mailing Address - Street 2:
Mailing Address - City:CHESAPEAKE
Mailing Address - State:VA
Mailing Address - Zip Code:23322-5539
Mailing Address - Country:US
Mailing Address - Phone:757-547-4685
Mailing Address - Fax:
Practice Address - Street 1:321 SIERRA DR
Practice Address - Street 2:
Practice Address - City:CHESAPEAKE
Practice Address - State:VA
Practice Address - Zip Code:23322-5539
Practice Address - Country:US
Practice Address - Phone:757-547-4685
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-02-02
Last Update Date:2015-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0130000033208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice