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Individual

PRAMOD S KELKAR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
12000 ELM CREEK BLVD N STE 360, MAPLE GROVE, MN 55369-7076
(763) 420-1010
(763) 420-3710
Mailing address
12000 ELM CREEK BLVD N STE 360, MAPLE GROVE, MN 55369-7076
(763) 420-1010
(763) 420-3710

Taxonomy

Speciality
Code
Description
License number
State
207KA0200X
Allergy Physician
Primary
41948
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0200201
MEDICA
MN
05
038588300
MN
01
128142F031
UCARE
MN
01
1892372
AMERICAS PPO
MN
01
294M9KE
BLUE CROSS AND BLUE SHIEL
MN
01
677941040910
PREFERREDONE
MN
01
HP40994
HEALTHPARTNERS
MN
01
P00204492
RAILROAD MEDICARE
MN
Enumeration date
07/28/2006
Last updated
11/07/2016
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