Organization
SOUTHDALE PEDIATRIC ASSOCIATES, LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAIRA MITHA MD (PRESIDENT)
(952) 831-1944
Entity
Organization
Contact information
Practice address
6600 FRANCE AVE S STE 300, EDINA, MN 55435-1803
(952) 831-1944
(952) 278-6947
Mailing address
6600 FRANCE AVE S STE 315, EDINA, MN 55435-1805
(952) 831-1944
(952) 278-6947
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
196
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
065710700
—
MN
Enumeration date
11/21/2006
Last updated
05/12/2026
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