Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XS0106X | Orthopaedic Hand Surgeon | A83582 | CA |
NPI | 1316040876 |
---|---|
Provider Name | Dr. Basil Rashad Besh |
First Address | Fremont, CA 94538-1052 |
Second Address | Fremont, CA 94538-1052 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/09/2006 |
Last Update Date | 18/03/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00A835820 | (05) | CA |
H71848 | (02) | |
ZZZ28101Z | MEDICARE GROUP NUMBER (01) | CA |