Individual
DEEPENDRA RAJ KHANAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
640 JACKSON STREET, SAINT PAUL, MN 55101
(651) 254-7900
(651) 254-7904
Mailing address
8170 33RD AVE S - PO BOX 1309, MAIL STOP 21110Q, MINNEAPOLIS, MN 55425-4516
(651) 254-7900
(651) 254-7904
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
4301092908
MI
2084N0400X
Neurology Physician
Primary
57422
MN
Other
Enumeration date
07/15/2009
Last updated
06/20/2016
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