Provider Demographics
NPI:1841461530
Name:FERHAN BEKEN, MD PC
Entity type:Organization
Organization Name:FERHAN BEKEN, MD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:FERHAN
Authorized Official - Middle Name:
Authorized Official - Last Name:BEKEN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:610-888-0484
Mailing Address - Street 1:910 ACADEMY LN
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 1:910 ACADEMY LANE
Practice Address - Street 2:HOME OFFICE
Practice Address - City:BRYN MAWR
Practice Address - State:PA
Practice Address - Zip Code:19010-2220
Practice Address - Country:US
Practice Address - Phone:484-380-3499
Practice Address - Fax:484-380-2542
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-20
Last Update Date:2016-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD060106L2084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0017246400002PPMedicaid
PA011311Medicare PIN
PA0017246400002PPMedicaid
PA125933Medicare PIN