MEDICARE: HOLLY BEEMAN MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207V00000X	Obstetrics & Gynecology Physician	C53469	CA
2	207VG0400X	Gynecology Physician	53469	CA
3	207VG0400X	Gynecology Physician	220554	NY
4	207VX0000X	Obstetrics Physician	53469	CA
5	207VX0000X	Obstetrics Physician	220554	NY
6	207V00000X	Obstetrics & Gynecology Physician	53469	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	0M2004	OTHER	NY	HEALTH NET
2	2099729	OTHER	NY	UNITED HEALTHCARE
3	P2532932	OTHER	NY	OXFORD HEALTH PLANS

General Provider Information

NPI Number	:	1447232210
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HOLLY BEEMAN MD

Provider Business Mailing Address
First Line	:	325 DISTEL CIR
Second Line	:
City	:	LOS ALTOS
State	:	CA
Zip	:	94022-1408
Country	:	US
Telephone Number	:	650-934-7616
Fax Number	:

Provider Business Practice Location Address
First Line	:	701 E EL CAMINO REAL
Second Line	:
City	:	MOUNTAIN VIEW
State	:	CA
Zip	:	94040-2833
Country	:	US
Telephone Number	:	650-934-7616
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/17/2005
Last Update Date	:	03/31/2020

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Directions to “ HOLLY BEEMAN MD” Practice Location

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