Basic Information
| Provider Information | |||||||||
| NPI: | 1922737204 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | BESHAY | ||||||||
| FirstName: | CHRIS | ||||||||
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| Mailing Information | |||||||||
| Address1: | 3037 MISSION HILL DRIVE | ||||||||
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| City: | MISSISSAUGA | ||||||||
| State: | ONTARIO | ||||||||
| PostalCode: | L5M0B8 | ||||||||
| CountryCode: | CA | ||||||||
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| Practice Location | |||||||||
| Address1: | 525 EAST MARKET STREET | ||||||||
| Address2: | |||||||||
| City: | AKRON | ||||||||
| State: | OH | ||||||||
| PostalCode: | 44304 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3303753000 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 06/10/2022 | ||||||||
| LastUpdateDate: | 06/10/2022 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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| NPICertificationDate: | 06/10/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207Q00000X | 57-252511 | OH | Y | Allopathic & Osteopathic Physicians | Family Medicine |
No ID Information.