Provider Demographics
NPI:1245406057
Name:H & B MEDICAL CONSULTANTS LLC
Entity Type:Organization
Organization Name:H & B MEDICAL CONSULTANTS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:BEAULA
Authorized Official - Middle Name:V
Authorized Official - Last Name:KODURI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:732-207-3858
Mailing Address - Street 1:402 MAIN ST
Mailing Address - Street 2:SUITE 100-325
Mailing Address - City:METUCHEN
Mailing Address - State:NJ
Mailing Address - Zip Code:08840-1846
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:402 MAIN ST
Practice Address - Street 2:SUITE 100-325
Practice Address - City:METUCHEN
Practice Address - State:NJ
Practice Address - Zip Code:08840-1846
Practice Address - Country:US
Practice Address - Phone:732-207-3858
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-01
Last Update Date:2008-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility