Provider Demographics
NPI:1659437093
Name:BEK, ESENBIKE (MD)
Entity Type:Individual
Prefix:
First Name:ESENBIKE
Middle Name:
Last Name:BEK
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:ESENBIKE
Other - Middle Name:
Other - Last Name:BEK
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD PC
Mailing Address - Street 1:14806 TAMIAMI TRL
Mailing Address - Street 2:
Mailing Address - City:NORTH PORT
Mailing Address - State:FL
Mailing Address - Zip Code:34287-2701
Mailing Address - Country:US
Mailing Address - Phone:941-295-6800
Mailing Address - Fax:844-388-6186
Practice Address - Street 1:14806 TAMIAMI TRL
Practice Address - Street 2:
Practice Address - City:NORTH PORT
Practice Address - State:FL
Practice Address - Zip Code:34287-2701
Practice Address - Country:US
Practice Address - Phone:941-295-6800
Practice Address - Fax:844-388-6186
Is Sole Proprietor?:No
Enumeration Date:2006-12-29
Last Update Date:2020-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY189399207R00000X
FLME123120207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01624060Medicaid
NY01624060Medicaid
NY775721Medicare ID - Type Unspecified