# DR. DONNA LENORE BEITEL

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1093859357
- **Gender:** F
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2084P0804X | Child & Adolescent Psychiatry Physician | D0055871 | MD | Yes |

## Other

- **Enumeration date:** 02/19/2007
- **Last updated:** 12/13/2016

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 010618101 | FED TAX ID \# | MD |
| 05 | — | 130801700 | — | MD |
| 01 | — | 15-32517 | COVENTRY | MD |
| 01 | — | 2128183 | MAMSI INDIVIDUAL \# | MD |
| 01 | — | 220946-000 | MAGELLAN MIS\# | MD |
| 01 | — | 264849 | COMPSYCH | MD |
| 01 | — | 388898 | MAMSI GROUP \# | MD |
| 01 | — | 4540864 | AETNA INDIVIDUAL \# | MD |
| 05 | — | 479302100 | — | MD |
| 01 | — | 733191 | NCPPO | MD |
| 01 | — | 7592348 | AETNA GROUP \# | MD |
| 01 | — | F793 0010 | BCBS - FEDERAL | MD |
| 01 | — | KBM9 60623102 | BCBS- STATE | MD |
