Individual
SAILAJA ENDURI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3400 W 66TH ST STE 150, EDINA, MN 55435-2109
(952) 920-7200
Mailing address
3400 W 66TH ST STE 150, EDINA, MN 55435-2109
(952) 920-7200
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
52428
CO
2084N0400X
Neurology Physician
Primary
57731
MN
2084N0600X
Clinical Neurophysiology Physician
57731
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1316109697
—
MN
Enumeration date
06/27/2008
Last updated
05/18/2022
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