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Contact Information

BETHANY PRIMARY CARE
33188 COASTAL HWY
SUITE 4
BETHANY BEACH, DE19930-3779
 Phone: 302-537-1100
 Fax: 302-537-0921
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Nurse Practitioner

363L00000X 50 Nurse Practitioner
 

Psychiatry

2084P0800X 26 Physician/Psychiatry
Indicates primary specialty

NPI Profile & details for BETHANY PRIMARY CARE

NPI # 1508872052
LBN Legal business name BETHANY PRIMARY CARE
Authorized official RAJSHEKAR NARASIMAIAH - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 08/01/2006
Last updated 07/09/2014 - About 5 years ago
Identifiers
DE License # C1-0008098
DE License # C1-0009184
DE License # LG-0000463
DE License # LG-0000712
DE Medicaid 1000014404
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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