Eden Prairie Clinic, Pa

LBN: Eden Prairie Clinic, Pa
Eden Prairie Clinic, Pa is an health care organization with primary practice located at 9358 Ensign Ave S Suite C, Bloomington MN 55438-1472. The organization recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Adolescent Medicine, Allopathic & Osteopathic Physicians / Adult Medicine, Allopathic & Osteopathic Physicians / Geriatric Medicine. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty. Eden Prairie Clinic, Pa can be contacted via phone (952) 944-6989, or through Krishna Kumar, Radha via phone (952) 944-6989.

Contact Information

Primary practice address
9358 Ensign Ave S Suite C Bloomington MN 55438-1472
Phone: (952) 944-6989
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Krishna Kumar, Radha Doctor of Medicine (MD)
Phone: (952) 944-6989

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X
Allopathic & Osteopathic Physicians / Adolescent Medicine 207QA0000X
Allopathic & Osteopathic Physicians / Adult Medicine 207QA0505X
Allopathic & Osteopathic Physicians / Geriatric Medicine 207QG0300X

Profile Details

NPI number 1437459211
LBN Legal business name Eden Prairie Clinic, Pa
DBA Doing business as
Authorized official Krishna Kumar, Radha Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 27th, 2010
Last updated Oct 28th, 2010 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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