Devaraj, Kalangi Theodore
Devaraj, Kalangi Theodore is an individual health care provider with primary practice located at 920 4Th Ave Sw , Pipestone MN 56164-1455. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Devaraj, Kalangi Theodore can be contacted via phone (507) 825-5700.Contact Information
Primary practice address
920 4Th Ave Sw
Pipestone MN 56164-1455
Phone: (507) 825-5700
Fax: (507) 825-4752
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 25932 | Minnesota |
Profile Details
| NPI number | 1124081047 |
|---|---|
| LBN Legal business name | Devaraj, Kalangi Theodore |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 11th, 2006 |
| Last updated | Sep 27th, 2013 - about 12 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 | 1124081047 | NPPES |
| Minnesota | MEDICAID | 713202600 |
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