Individual
SUCHITRA RONDLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MBBS
Contact information
Practice address
3585 LEXINGTON AVENUE NORTH, SUITE 350, SHOREVIEW, MN 55126-8056
(651) 494-3942
(651) 787-0519
Mailing address
3585 LEXINGTON AVENUE NORTH, SUITE 350, SHOREVIEW, MN 55126-8056
(651) 251-5280
(651) 251-5282
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
48207
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
395421800
—
MN
Enumeration date
03/23/2006
Last updated
09/24/2008
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