Individual
CHETAN SHENOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
909 FULTON ST SE, MINNEAPOLIS, MN 55455-4800
(612) 672-7422
(612) 676-5051
Mailing address
720 WASHINGTON AVE SE, SUITE 300, MINNEAPOLIS, MN 55414-2924
(612) 884-0301
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2007-01453
NC
207RC0000X
Cardiovascular Disease Physician
Primary
261QM1300X
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
107324
MINNESOTA MEDICAL LICENSE
MN
Enumeration date
01/14/2010
Last updated
01/24/2024
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