Individual
MS. KRUTI TRIPATHI SHUKLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4300 MARKET PTE DR STE 100, BLOOMINGTON, MN 55435-5435
(952) 767-4574
Mailing address
7213 FLEETWOOD DR, EDINA, MN 55439-1811
(914) 299-1474
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
54259
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
07P00000X
MD NUMBER
MN
Enumeration date
08/08/2008
Last updated
05/03/2024
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