Individual
BEENA KUMAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
8600 NICOLLET AVE S, BLOOMINGTON, MN 55420-2824
(952) 541-2800
Mailing address
8170 33RD AVE S, MS 21110Q, BLOOMINGTON, MN 55425-4516
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
45769
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
106678100
—
MN
Enumeration date
02/28/2006
Last updated
12/02/2024
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