Jinnur, Praveen
Jinnur, Praveen is an individual health care provider with primary practice located at 1702 University Dr S , Fargo ND 58103-4940. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Sleep Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease. Allopathic & Osteopathic Physicians / Pulmonary Disease is his primary health care specialty. Jinnur, Praveen can be contacted via phone (701) 364-3300.Contact Information
Primary practice address
1702 University Dr S
Fargo ND 58103-4940
Phone: (701) 364-3300
Fax: (701) 364-8906
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Sleep Medicine | 207RS0012X | 13606 | North Dakota |
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | 13606 | North Dakota |
Profile Details
| NPI number | 1467755165 |
|---|---|
| LBN Legal business name | Jinnur, Praveen |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 19th, 2010 |
| Last updated | Mar 9th, 2023 - about 2 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 | 1467755165 | NPPES |
| Minnesota | MEDICAID | ENROLLED | |
| Minnesota | MEDICAID | ENROLLED |
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