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Individual

RABINDRA R TAMBYRAJA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2450 RIVERSIDE AVE, SUITE F256/2B WEST, MINNEAPOLIS, MN 55454-1450
(612) 273-9711
(612) 273-9779
Mailing address
2450 RIVERSIDE AVE, SUITE F256/2B WEST, MINNEAPOLIS, MN 55454-1450
(612) 273-9711
(612) 273-9779

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
90024
OH
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
53210
MN
390200000X
Student in an Organized Health Care Education/Training Program
TC 57-01-0938
OH

Other

Enumeration date
05/18/2007
Last updated
12/28/2010
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