Individual
DR. GARTH MERVID BEACHE
Active
Individual
DR. GARTH MERVID BEACHE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
40968
KY
2085R0202X
Diagnostic Radiology Physician
D0051294
MD
2085R0204X
Vascular & Interventional Radiology Physician
40968
KY
2085R0204X
Vascular & Interventional Radiology Physician
D0051294
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000522619
ANTHEM
KY
05
—
200897990
—
IN
01
—
40968
LICENSE
KY
01
—
D0051294
LICENSE
MD
01
—
P00413991
RAILROAD MCR
KY
Enumeration date
10/13/2006
Last updated
02/09/2009
Update your record
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