Provider Demographics
NPI:1164676979
Name:JOSEPH, BEENA M (MD)
Entity Type:Individual
Prefix:DR
First Name:BEENA
Middle Name:M
Last Name:JOSEPH
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:8003 CASTLEWAY DRIVE
Mailing Address - Street 2:INDIANA HEALTH CENTERS, INC.
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46250
Mailing Address - Country:US
Mailing Address - Phone:317-576-1335
Mailing Address - Fax:317-576-1339
Practice Address - Street 1:8003 CASTLEWAY DRIVE
Practice Address - Street 2:INDIANA HEALTH CENTERS, INC.
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46250
Practice Address - Country:US
Practice Address - Phone:317-576-1335
Practice Address - Fax:317-576-1339
Is Sole Proprietor?:No
Enumeration Date:2008-11-06
Last Update Date:2008-11-06
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IN01050853A208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics