Provider Demographics
NPI:1518086578
Name:BECKHAM, NIRUPA (MD)
Entity Type:Individual
Prefix:DR
First Name:NIRUPA
Middle Name:
Last Name:BECKHAM
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:NIRUPA
Other - Middle Name:
Other - Last Name:REDDY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:585 N ROSSMORE AVE
Mailing Address - Street 2:APT 408
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90004-2448
Mailing Address - Country:US
Mailing Address - Phone:310-779-9434
Mailing Address - Fax:
Practice Address - Street 1:8700 BEVERLY BLVD
Practice Address - Street 2:NORTH TOWER, RM 4311, CEDARS SINAI MEDICAL CENTER
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90048
Practice Address - Country:US
Practice Address - Phone:310-779-9434
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-28
Last Update Date:2021-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA94933208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics