Individual
SNIGDHASMRITHI SAGAR PUSALAVIDYASAGAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MBBS
Contact information
Practice address
606 24TH AVE S, SUITE 106, MINNEAPOLIS, MN 55454-1455
(612) 273-5000
Mailing address
420 DELAWARE ST SE, MMC 276, MINNEAPOLIS, MN 55455-0341
(612) 624-0999
(612) 625-2174
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
43341
MN
207RS0012X
Sleep Medicine (Internal Medicine) Physician
Primary
43341
MN
Other
Enumeration date
01/18/2006
Last updated
05/22/2014
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