Pai, Manjunath Mizar

Pai, Manjunath Mizar is an individual health care provider with primary practice located at 800 E 28Th St Ste H2100 , Minneapolis MN 55407-3723. He recently has 4 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Cardiovascular Disease. Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology is his primary health care specialty. Pai, Manjunath Mizar can be contacted via phone (612) 863-6900.

Contact Information

Primary practice address
800 E 28Th St Ste H2100 Minneapolis MN 55407-3723
Phone: (612) 863-6900
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology 207RC0001X 62017 Minnesota
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 247084 Massachusetts
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 57-020724 Ohio

Profile Details

NPI number 1225299845
LBN Legal business name Pai, Manjunath Mizar
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 17th, 2008
Last updated Mar 11th, 2021 - about 3 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 1225299845 NPPES
Massachusetts MEDICAID 110089084A

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