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Individual

PADMA V CHANDIKA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
2925 CHICAGO AVE, MINNEAPOLIS, MN 55407-1321
(612) 863-4000
Mailing address
2925 CHICAGO AVE, MINNEAPOLIS, MN 55407-1321
(612) 863-4000
(269) 341-8098

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
M2280
TX
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
4301088103
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
4915305
MI
01
DD8038
RAILROAD MEDICARE
MI
Enumeration date
07/11/2006
Last updated
03/11/2021
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