Provider Demographics
NPI:1730679846
Name:BENYAMEN, BESHOY (MD)
Entity type:Individual
Prefix:
First Name:BESHOY
Middle Name:
Last Name:BENYAMEN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:BESHOY
Other - Middle Name:
Other - Last Name:BENYAMEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:50 E HOSPITAL ST STE 3
Mailing Address - Street 2:
Mailing Address - City:MANNING
Mailing Address - State:SC
Mailing Address - Zip Code:29102-3149
Mailing Address - Country:US
Mailing Address - Phone:803-435-8828
Mailing Address - Fax:803-435-2239
Practice Address - Street 1:50 E HOSPITAL ST STE 3
Practice Address - Street 2:
Practice Address - City:MANNING
Practice Address - State:SC
Practice Address - Zip Code:29102-3149
Practice Address - Country:US
Practice Address - Phone:803-435-8828
Practice Address - Fax:803-435-2239
Is Sole Proprietor?:Yes
Enumeration Date:2018-05-14
Last Update Date:2024-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SCLL92095207Q00000X
CT74269208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Multi-Specialty
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine