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Dr. Kozhuvattasseri Padmanabha Madhusoodanan, MD
Cardiovascular Disease Physician in Minneapolis, Minnesota
NPI 1164505624

Kozhuvattasseri Padmanabha Madhusoodanan is a Cardiovascular Disease Physician based in Minneapolis, MN and is specialized in Cardiovascular Disease. Kozhuvattasseri Padmanabha Madhusoodanan practices in Minneapolis, MN and has the professional credentials of MD. The NPI Number for Kozhuvattasseri Padmanabha Madhusoodanan is 1164505624 and holds a License No. 42532 (Minnesota).

The current practice location address for Kozhuvattasseri Padmanabha Madhusoodanan is 516 Delaware Street Se Clinic 3B, Minneapolis, MN and can be reached out via phone at 612-625-3600.

Location: 516 Delaware Street Se Clinic 3B, Minneapolis, MN, 55455
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Provider Profile Details
NPI Number
1164505624
Provider Name
Kozhuvattasseri Padmanabha Madhusoodanan
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
516 Delaware Street Se Clinic 3B, Minneapolis, MN, 55455
Phone Number
612-625-3600
Fax Number
Provider Enumeration Date
10/20/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1053385 01 ARAZ
25-00413 01 MEDICA CHOICE
0534461 05 IA
M011 01 TRIWEST/TRICARE
HP31284 01 HEALTHPARTNERS
128412600 05 MN
34017700 05 WI
7777470 05 SD
10387 05 ND
127916 01 UCARE
25-00021 01 MEDICA PRIMARY
78R23MA 01 MN BLUE CROSS BLUE SHIELD
1024914 01 PREFERREDONE
institution
Provider Business Practice Location Address Details
Address
516 Delaware Street Se Clinic 3B
City
State
Zip
55455
Phone Number
612-625-3600
Fax Number
person
Provider Business Mailing Address Details
Address
516 Delaware Street Se Clinic 3B
City
State
Zip
55455
Phone Number
612-625-3600
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Cardiovascular Disease
Taxonomy
License No.
42532 (Minnesota)
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
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