Beesam Shashank, Reddy
Beesam Shashank, Reddy is an individual health care provider with primary practice located at 1120 15Th St Dept Of , Augusta GA 30912. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Beesam Shashank, Reddy can be contacted via phone (706) 721-8623.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 080106 | Georgia |
Profile Details
| NPI number | 1902211881 |
|---|---|
| LBN Legal business name | Beesam Shashank, Reddy |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 30th, 2014 |
| Last updated | Jul 19th, 2018 - about 8 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1902211881 | NPPES |
| Georgia | MEDICAID | 003206806A | |
| Georgia | Other | 080106 |
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