Individual
KRISHNA PRASAD KOLANDAIVEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
915 E 1ST ST, DULUTH, MN 55805-2107
(218) 828-7101
Mailing address
915 E 1ST ST, DULUTH, MN 55805-2107
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
63110
MN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
11/10/2012
Last updated
09/08/2021
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