| Doctor Name: | AMANDA RUTH BEACH |
| NPI Number: | 1861652430 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MD |
| License Number: | 11014385A |
| Business Practice Address: | 310 Medical Dr Ste 102 Carmel, IN - 460323078 |
| Business Phone Number: | 3174155960 |
| Business Fax Number: | |
| Mailing Address: | 8840 Commerce Park Pl Ste E, INDIANAPOLIS |
| State: | IN |
| Postal Code: | 462683129 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 06/16/2008 |
| NPI Last Update Date: | 02/24/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 390200000X |
| License Number: | 11014385A |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | IN |
| Taxonomy Type: | Student, Health Care |
| Taxonomy Classification: | Student in an Organized Health Care Education/Training Program |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |