Kelkar, Pramod S
Kelkar, Pramod S is an individual health care provider with primary practice located at 12000 Elm Creek Blvd N Ste 360 , Maple Grove MN 55369-7076. He recently has only one registered license in Allopathic & Osteopathic Physicians / Allergy, which is considered as his primary health care specialty. Kelkar, Pramod S can be contacted via phone (763) 420-1010.Contact Information
Primary practice address
12000 Elm Creek Blvd N Ste 360
Maple Grove MN 55369-7076
Phone: (763) 420-1010
Fax: (763) 420-3710
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Allergy | 207KA0200X | 41948 | Minnesota |
Profile Details
| NPI number | 1154335990 |
|---|---|
| LBN Legal business name | Kelkar, Pramod S |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 28th, 2006 |
| Last updated | Nov 7th, 2016 - about 10 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 | 1154335990 | NPPES |
| Minnesota | Other | 294M9KE | BLUE CROSS AND BLUE SHIEL |
| Minnesota | Other | 128142F031 | BLUE CROSS AND BLUE SHIEL |
| Minnesota | MEDICAID | 038588300 | BLUE CROSS AND BLUE SHIEL |
| Minnesota | Other | 1892372 | BLUE CROSS AND BLUE SHIEL |
| Minnesota | Other | 677941040910 | BLUE CROSS AND BLUE SHIEL |
| Minnesota | Other | 0200201 | BLUE CROSS AND BLUE SHIEL |
| Minnesota | Other | HP40994 | BLUE CROSS AND BLUE SHIEL |
| Minnesota | Other | P00204492 | BLUE CROSS AND BLUE SHIEL |
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