Provider Demographics
NPI:1326194093
Name:KAMATH-RAYNE, BEENA (MD, MPH)
Entity Type:Individual
Prefix:
First Name:BEENA
Middle Name:
Last Name:KAMATH-RAYNE
Suffix:
Gender:F
Credentials:MD, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 45
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60690-0045
Mailing Address - Country:US
Mailing Address - Phone:312-227-4190
Mailing Address - Fax:312-227-9758
Practice Address - Street 1:PRENTICE WOMEN'S HOSPITAL
Practice Address - Street 2:250 E. SUPERIOR
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60611
Practice Address - Country:US
Practice Address - Phone:312-472-1000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-26
Last Update Date:2021-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35.0940052080N0001X
IL036.1541312080N0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080N0001XAllopathic & Osteopathic PhysiciansPediatricsNeonatal-Perinatal Medicine