Provider Demographics
NPI:1598751794
Name:MEZHER, BECHARA (MD)
Entity Type:Individual
Prefix:
First Name:BECHARA
Middle Name:
Last Name:MEZHER
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 1:1505 N SWAN RD STE 121
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85712-4044
Mailing Address - Country:US
Mailing Address - Phone:520-795-3090
Mailing Address - Fax:520-795-3537
Practice Address - Street 1:1505 N SWAN RD
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85712
Practice Address - Country:US
Practice Address - Phone:520-869-9233
Practice Address - Fax:888-422-9903
Is Sole Proprietor?:No
Enumeration Date:2005-09-22
Last Update Date:2024-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ28951207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NMMD2023-1621OtherNM LICENSE
AZ703448Medicaid
AZG28204Medicare UPIN