Individual
KANAKA DURGA SWAROOP VEGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1650 4TH ST SE, ROCHESTER, MN 55904-4717
(507) 529-6616
(507) 529-6622
Mailing address
1650 4TH ST SE, ROCHESTER, MN 55904-4717
(507) 529-6616
(507) 529-6622
Taxonomy
Speciality
Code
Description
License number
State
207ZB0001X
Blood Banking & Transfusion Medicine Physician
44126
MN
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
44126
MN
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
44126
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
231003100
—
MN
05
—
34390900
—
WI
01
—
584S3VE
BCBS
MN
Enumeration date
10/04/2006
Last updated
03/18/2014
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