Organization
ESHAM MEDICAL
Active
Organization
ESHAM MEDICAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES A. ESHAM MD (DOCTOR)
(302) 478-2223
Entity
Organization
Contact information
Practice address
2700 SILVERSIDE RD, SUITE 6, WILMINGTON, DE 19810-3719
(302) 478-2223
Mailing address
2700 SILVERSIDE RD, SUITE 6, WILMINGTON, DE 19810-3719
(302) 478-2223
(302) 478-2246
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
C1-0003508
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0000384501
—
DE
01
—
0402157
UNITED HEALTHCARE
—
01
—
0507661000
AMERIHEALTH
—
01
—
110111640
METRAHEALTH
DE
01
—
136689
MEDICARE PTAN
—
01
—
4291985
AETNA
—
01
—
531E74
BLUE CROSS BLUE SHIELD OF
DE
01
—
57372
COVENTRY
—
01
—
856371
OPTIMUM CHOICE
—
Enumeration date
04/09/2008
Last updated
12/05/2008
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