Provider Demographics
NPI:1609250398
Name:BEKHIT, MENA (MD)
Entity Type:Individual
Prefix:
First Name:MENA
Middle Name:
Last Name:BEKHIT
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 1:110 W UNDERWOOD ST STE A
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32806-1132
Mailing Address - Country:US
Mailing Address - Phone:407-422-3790
Mailing Address - Fax:
Practice Address - Street 1:110 W UNDERWOOD ST STE A
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32806-1132
Practice Address - Country:US
Practice Address - Phone:407-422-3790
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-07-13
Last Update Date:2020-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLTRN21712208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery