Kanuga, Mansi Jayesh

Kanuga, Mansi Jayesh is an individual health care provider with primary practice located at 701 Hewitt Blvd , Red Wing MN 55066-2848. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Allergy & Immunology, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Allergy & Immunology is her primary health care specialty. Kanuga, Mansi Jayesh can be contacted via phone (651) 267-5000.

Contact Information

Primary practice address
701 Hewitt Blvd Red Wing MN 55066-2848
Fax: (651) 267-5910
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Allergy & Immunology 207K00000X 25MA08452300 New Jersey
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD13231 Rhode Island
Allopathic & Osteopathic Physicians / Allergy & Immunology 207K00000X 54148 Minnesota

Profile Details

NPI number 1588814016
LBN Legal business name Kanuga, Mansi Jayesh
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 20th, 2008
Last updated Sep 30th, 2020 - about 4 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 1588814016 NPPES
Rhode Island Other GROUP NPI 1538161161 RI BS
Rhode Island Other 36799 RI BS
Rhode Island Other NPI 1588814016 RI BS
Rhode Island Other 298399 RI BS
Rhode Island MEDICAID 1588814016 RI BS
Rhode Island Other AA175128 RI BS
Rhode Island MEDICAID MK79545 RI BS
Rhode Island Other 756565 RI BS

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