Individual
DR. MEGHABHUTI ROTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5178 CENTRAL AVE NE, COLUMBIA HEIGHTS, MN 55421-1825
(763) 586-6045
(763) 586-1098
Mailing address
5178 CENTRAL AVE NE, COLUMBIA HEIGHTS, MN 55421-1825
(763) 586-6045
(763) 586-1098
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
29482
MN
Other
Enumeration date
05/02/2006
Last updated
09/21/2020
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