Individual
DR. BEULAH T. PENUMUDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2121 LAKE AVE, VA NORTHERN INDIANA HEALTH CARE SYSTEM, FORT WAYNE, IN 46805-5100
(260) 426-5431
(260) 426-5431
Mailing address
2121 LAKE AVE, VA NORTHERN INDIANA HEALTH CARE SYSTEM, FORT WAYNE, IN 46805-5100
(260) 426-5431
(260) 426-5431
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
11433
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11433
NEVADA MEDICAL LICENSE
NV
01
—
CS12529
PHARMACY LICENSE
NV
Enumeration date
01/18/2007
Last updated
03/07/2023
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us