Mokkala, Vidu Bala

Mokkala, Vidu Bala is an individual health care provider with primary practice located at 550 Osborne Rd Ne , Fridley MN 55432-2718. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Other Service Providers / Specialist. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Mokkala, Vidu Bala can be contacted via phone (763) 236-3518.

Contact Information

Primary practice address
550 Osborne Rd Ne Fridley MN 55432-2718
Phone: (763) 236-3518
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 52840 Minnesota
Other Service Providers / Specialist 174400000X 207R00000X

Profile Details

NPI number 1396918207
LBN Legal business name Mokkala, Vidu Bala
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 11th, 2008
Last updated Nov 10th, 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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