Riskalla, Mona M

Riskalla, Mona M is an individual health care provider with primary practice located at 2450 Riverside Ave , Minneapolis MN 55454-1450. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Rheumatology, Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Rheumatology. Allopathic & Osteopathic Physicians / Pediatric Rheumatology is her primary health care specialty. Riskalla, Mona M can be contacted via phone (612) 626-4598.

Contact Information

Primary practice address
2450 Riverside Ave Minneapolis MN 55454-1450
Fax: (612) 626-6905
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Rheumatology 207RR0500X 48674 Minnesota
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 48674 Minnesota
Allopathic & Osteopathic Physicians / Pediatric Rheumatology 2080P0216X 48674 Minnesota

Profile Details

NPI number 1710068978
LBN Legal business name Riskalla, Mona M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 17th, 2006
Last updated Sep 7th, 2016 - about 8 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 1710068978 NPPES
Minnesota MEDICAID 573606400

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