Provider Demographics
NPI:1699735589
Name:BEKEN, FERHAN (MD)
Entity type:Individual
Prefix:DR
First Name:FERHAN
Middle Name:
Last Name:BEKEN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:KATE
Other - Middle Name:FERHAN
Other - Last Name:BEKEN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:C/O 910 ACADEMY LANE
Mailing Address - Street 2:
Mailing Address - City:BRYN MAWR
Mailing Address - State:PA
Mailing Address - Zip Code:19010-2220
Mailing Address - Country:US
Mailing Address - Phone:484-380-3499
Mailing Address - Fax:484-380-2542
Practice Address - Street 1:937 E HAVERFORD RD
Practice Address - Street 2:SUITE 101
Practice Address - City:BRYN MAWR
Practice Address - State:PA
Practice Address - Zip Code:19010-3800
Practice Address - Country:US
Practice Address - Phone:484-380-3499
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-24
Last Update Date:2014-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD-060106-L2084N0400X, 2084N0600X, 2084P2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
No2084N0600XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyClinical Neurophysiology
No2084P2900XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPain Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1841461530OtherTRICARE GROUP NPI
PA635656OtherPERSONAL CHOICE
PA819880OtherBC/BS
PA2292045OtherAETNA
PA125933OtherMEDICARE GROUP ID NUMBER
PA0567037000OtherKEYSTONE
PA1841461530OtherNPI (ONE PERSON GROUP)
PAG73810Medicare UPIN
PA1841461530OtherNPI (ONE PERSON GROUP)