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 11 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 |
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