Kesha, Jyothi Bhanu
Kesha, Jyothi Bhanu is an individual health care provider with primary practice located at 500 Osborne Rd Ne Suite 240, Fridley MN 55432-2765. She recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as her primary health care specialty. Kesha, Jyothi Bhanu can be contacted via phone (763) 783-8582.Contact Information
Primary practice address
500 Osborne Rd Ne Suite 240
Fridley MN 55432-2765
Phone: (763) 783-8582
Fax: (763) 783-8616
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Urology | 208800000X | 42668 | Minnesota |
Profile Details
| NPI number | 1558358796 |
|---|---|
| LBN Legal business name | Kesha, Jyothi Bhanu |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 3rd, 2005 |
| Last updated | Oct 13th, 2011 - about 15 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 | 1558358796 | NPPES |
| Minnesota | MEDICAID | 307127800 |
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