Pharaon, Beder

Pharaon, Beder is an individual health care provider with primary practice located at 24 Joliet St , Dyer IN 46311-1705. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is his primary health care specialty. Pharaon, Beder can be contacted via phone (219) 865-2141.

Contact Information

Primary practice address
24 Joliet St Dyer IN 46311-1705
Phone: (219) 865-2141
Fax: (219) 852-2502
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 01075620A Indiana
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 01075620A Indiana

Profile Details

NPI number 1073875571
LBN Legal business name Pharaon, Beder
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 11th, 2012
Last updated Mar 31st, 2023 - about last year

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 1073875571 NPPES
Indiana MEDICAID 201310750
Indiana Other 471400313

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