Organization
BETHANY PRIMARY CARE
Active
Organization
BETHANY PRIMARY CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAJSHEKAR NARASIMAIAH M.D. (OWNER)
(302) 537-1100
Entity
Organization
Contact information
Practice address
33188 COASTAL HWY, SUITE 4, BETHANY BEACH, DE 19930-3779
(302) 537-1100
(302) 537-0921
Mailing address
33188 COASTAL HWY, SUITE 4, BETHANY BEACH, DE 19930-3779
(302) 537-1100
(302) 537-0921
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
C1-0008098
DE
2084P0800X
Psychiatry Physician
C1-0009184
DE
363L00000X
Nurse Practitioner
LG-0000463
DE
363L00000X
Nurse Practitioner
LG-0000712
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1000014404
—
DE
Enumeration date
08/01/2006
Last updated
07/09/2014
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