Individual
ATHENA C BEIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1995 E STATE ST, SALEM, OH 44460-2423
(330) 332-7415
(330) 332-7703
Mailing address
1995 E STATE ST, SALEM, OH 44460-2423
(330) 332-7415
(330) 332-7703
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35127557
OH
207R00000X
Internal Medicine Physician
MD417009
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0018849940001
—
PA
05
—
0158587
—
OH
Enumeration date
09/14/2006
Last updated
12/07/2022
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