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Individual

BHARATH MANU AKKARA VEETIL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MBBS

Contact information

Practice address
1200 6TH AVE N, SAINT CLOUD, MN 56303-2735
(320) 252-5131
Mailing address
1200 6TH AVE N, SAINT CLOUD, MN 56303-2735
(320) 252-5131

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MT187664
PA
207RR0500X
Rheumatology Physician
104288
MN
207RR0500X
Rheumatology Physician
Primary
52139
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
ENROLLED
MN
01
P00787815
RAILROAD MEDICARE
MN
Enumeration date
12/29/2006
Last updated
06/03/2012
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