Beache, Garth Mervid

Beache, Garth Mervid is an individual health care provider with primary practice located at 530 S Jackson St Suite C07, Louisville KY 40202-1675. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Beache, Garth Mervid can be contacted via phone (502) 852-5875.

Contact Information

Primary practice address
530 S Jackson St Suite C07 Louisville KY 40202-1675
Phone: (502) 852-5875
Fax: (502) 852-1754
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology 2085R0204X D0051294 Maryland
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 40968 Kentucky
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology 2085R0204X 40968 Kentucky
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X D0051294 Maryland

Profile Details

NPI number 1962592964
LBN Legal business name Beache, Garth Mervid
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 13th, 2006
Last updated Feb 9th, 2009 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1962592964 NPPES
Kentucky Other 40968 LICENSE
Kentucky Other 000000522619 LICENSE
Kentucky MEDICAID 200897990 LICENSE
Kentucky Other D0051294 LICENSE
Kentucky Other P00413991 LICENSE

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