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Individual

DR. AJIT INDAVARAPU

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
701 PARK AVE, MINNEAPOLIS, MN 55415
(612) 873-3000
Mailing address
1000 S CLARK ST UNIT 1215, CHICAGO, IL 60605-2193
(732) 979-6875

Taxonomy

Speciality
Code
Description
License number
State
2084A2900X
Neurocritical Care Physician
64016
MN
2084N0400X
Neurology Physician
Primary
036-141142
IL

Other

Enumeration date
05/30/2013
Last updated
10/25/2023
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