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Individual

DR. TERESA D BEAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
14300 E 138TH STREET, BLDG A, FISHERS, IN 46037-0087
(317) 813-1660
(317) 813-1667
Mailing address
679 E COUNTY LINE RD, GREENWOOD, IN 46143-1049
(317) 807-1262
(317) 859-4268

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
01046057A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000091694
ANTHEM PIN NUMBER
IN
01
100194370
MEDICAID GROUP NUMBER
IN
01
1205916830
GREENWOOD DME NPI
IN
01
1487680518
GROUP NPI
IN
01
1669552295
NOBLESVILLE DME NPI
IN
05
200123070
IN
01
200288740
MEDICAID GROUP NUMBER
IN
01
340014540
MEDICARE RAILROAD
IN
01
340014541
MEDICARE RAILROAD
IN
01
340014542
MEDICARE RAILROAD
IN
Enumeration date
07/28/2006
Last updated
03/17/2021
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