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Organization

MOHAMED HYTHAM I BECK MD

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MOHAMED HYTHAM I BECK (OWNER)
(812) 385-5820
Entity
Organization

Contact information

Practice address
121 N HART ST, PRINCETON, IN 47670-1045
(812) 385-5820
(812) 385-5826
Mailing address
PO BOX 3276, EVANSVILLE, IN 47731-3276
(812) 473-0181
(812) 473-5822

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
01062551A
IN
363A00000X
Physician Assistant
10001440A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000680103
ANTHEM
IN
05
201025150
IN
Enumeration date
09/01/2009
Last updated
02/03/2014
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