Provider Demographics
NPI:1538198791
Name:BEG, RAIHANA R (MD)
Entity type:Individual
Prefix:
First Name:RAIHANA
Middle Name:R
Last Name:BEG
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7900 OLD YORK RD
Mailing Address - Street 2:SUITE1O9-A
Mailing Address - City:ELKINS PARK
Mailing Address - State:PA
Mailing Address - Zip Code:19027-2318
Mailing Address - Country:US
Mailing Address - Phone:215-635-2954
Mailing Address - Fax:215-635-3212
Practice Address - Street 1:7900 OLD YORK RD
Practice Address - Street 2:SUITE1O9-A
Practice Address - City:ELKINS PARK
Practice Address - State:PA
Practice Address - Zip Code:19027-2318
Practice Address - Country:US
Practice Address - Phone:215-635-2954
Practice Address - Fax:215-635-3212
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-01
Last Update Date:2011-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD034597L2084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA117875Medicare PIN