Koduri, Beaula V
Koduri, Beaula V is an individual health care provider with primary practice located at 2110 Oak Tree Road , Edison NJ 08820-3626. She recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as her primary health care specialty. Koduri, Beaula V can be contacted via phone (732) 483-4501.Contact Information
Primary practice address
2110 Oak Tree Road
Edison NJ 08820-3626
Phone: (732) 483-4501
Fax: (732) 483-4502
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Hematology & Oncology | 207RH0003X | 25MA08158600 | New Jersey |
Profile Details
NPI number | 1972505311 |
---|---|
LBN Legal business name | Koduri, Beaula V |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 15th, 2005 |
Last updated | Sep 23rd, 2014 - about 10 years ago |
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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1972505311 | NPPES |
New Jersey | MEDICAID | 0140562 |
Popular Providers
-
Gruenberg, Daniel Richard
9555 Sw Barnes Rd Ste 150, Portland OR 97225-6663 -
Drasga, Ray Edward
1205 S Main St Ste 301, Crown Point IN 46307-3677 -
Gupta, Juhee
35-37 Progress St Ste A1 , Edison NJ 08820-1179 -
Giangiulio, Dennis Joseph
1600 Riverside Cir , Easton PA 18045-5671 -
Kumar, Avishek
908 Oak Tree Road Suite 104, Edison NJ 08820 -
Horn, Barbra A
4921 Parkview Pl 14B, Saint Louis MO 63110-1032 -
Haque, Ahsanul
303 S Nappanee St , Elkhart IN 46514-2066 -
Dave, Manish
65 James St Fl 3 , Edison NJ 08820-3947