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Individual

LEELANAND PRABHU RACHAKONDA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
11995 SINGLETREE LN STE 500, EDEN PRAIRIE, MN 55344-5349
(952) 595-1301
(612) 294-4903
Mailing address
2801 ALTA DR, LAS VEGAS, NV 89107-3201
(650) 740-0431

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
16541
NV

Other

Enumeration date
08/15/2011
Last updated
03/23/2023
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