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Dr. Beulah T. Penumudi, MD
Family Medicine Physician in Fort Wayne, Indiana
NPI 1750434486

Beulah T. Penumudi is a Family Medicine Physician based in Fort Wayne, IN. Beulah T. Penumudi practices in Fort Wayne, IN and has the professional credentials of MD. The NPI Number for Beulah T. Penumudi is 1750434486 and holds a License No. 11433 (Indiana).

The current practice location address for Beulah T. Penumudi is 2121 Lake Ave, Fort Wayne, IN and can be reached out via phone at 260-426-5431 and via fax at 260-426-5431.

Location: 2121 Lake Ave, Fort Wayne, IN, 46805-5100
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1750434486
Provider Name
Beulah T. Penumudi
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
2121 Lake Ave, Fort Wayne, IN, 46805-5100
Phone Number
260-426-5431
Fax Number
260-426-5431
Provider Enumeration Date
01/18/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
CS12529 01 NV PHARMACY LICENSE
11433 01 NV NEVADA MEDICAL LICENSE
institution
Provider Business Practice Location Address Details
Address
2121 Lake Ave
City
Fort Wayne
State
Indiana
Zip
46805-5100
Phone Number
260-426-5431
Fax Number
260-426-5431
person
Provider Business Mailing Address Details
Address
2121 Lake Ave
City
Fort Wayne
State
Indiana
Zip
46805-5100
Phone Number
260-426-5431
Fax Number
260-426-5431
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
11433 (Nevada)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
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