Individual
PAMELA RAJA PUTHOOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3001 BROADWAY ST NE STE 120, MINNEAPOLIS, MN 55413-2196
(612) 871-1145
(612) 870-5491
Mailing address
PO BOX 14909, MINNEAPOLIS, MN 55414-0909
(612) 871-1145
(612) 870-5491
Taxonomy
Speciality
Code
Description
License number
State
2080P0206X
Pediatric Gastroenterology Physician
042.0012876
VT
2080P0206X
Pediatric Gastroenterology Physician
50136
CO
2080P0206X
Pediatric Gastroenterology Physician
Primary
65611
MN
Other
Enumeration date
07/02/2008
Last updated
07/09/2019
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