Kanth, Praveena M

Kanth, Praveena M is an individual health care provider with primary practice located at 6545 France Ave S Suite 150, Edina MN 55435-2131. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Kanth, Praveena M can be contacted via phone (952) 848-5600.

Contact Information

Primary practice address
6545 France Ave S Suite 150 Edina MN 55435-2131
Fax: (952) 848-5573
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 36578 Minnesota

Profile Details

NPI number 1437155678
LBN Legal business name Kanth, Praveena M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 22nd, 2005
Last updated Mar 22nd, 2012 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1437155678 NPPES
Minnesota MEDICAID 337025900

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