Individual
DR. JAYA BHATTARAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4050 COON RAPIDS BLVD NW, COON RAPIDS, MN 55433-2522
(763) 236-6000
Mailing address
2925 CHICAGO AVE, MINNEAPOLIS, MN 55407-1321
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
11934
ND
207R00000X
Internal Medicine Physician
Primary
58530
MN
207R00000X
Internal Medicine Physician
MT191996
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
16073
—
ND
Enumeration date
07/22/2008
Last updated
05/17/2023
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