Bhoopal, Jaidev R
Bhoopal, Jaidev R is an individual health care provider with primary practice located at 400 E 3Rd St Essentia Health Duluth Clinic, Duluth MN 55805. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Critical Care Medicine. Allopathic & Osteopathic Physicians / Critical Care Medicine is his primary health care specialty. Bhoopal, Jaidev R can be contacted via phone (218) 786-8364.Contact Information
Primary practice address
400 E 3Rd St Essentia Health Duluth Clinic
Duluth MN 55805
Phone: (218) 786-8364
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | N0648 | Texas |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 55855 | Minnesota |
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | 55855 | Minnesota |
| Allopathic & Osteopathic Physicians / Critical Care Medicine | 207RC0200X | 55855 | Minnesota |
Profile Details
| NPI number | 1962610956 |
|---|---|
| LBN Legal business name | Bhoopal, Jaidev R |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 21st, 2007 |
| Last updated | Aug 6th, 2018 - about 7 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1962610956 | NPPES |
| Wisconsin | MEDICAID | 1962610956 | |
| Wisconsin | Other | 0004-0018721 | |
| Wisconsin | MEDICAID | 1962610956 | |
| Wisconsin | MEDICAID | 1975229-01 |
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