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Individual

DR. MINI BHASKAR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
210 9TH ST SE, ROCHESTER, MN 55904-6756
(507) 288-3443
Mailing address
210 9TH ST SE, ROCHESTER, MN 55904-6756
(507) 288-3443

Taxonomy

Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
055181
GA
207RR0500X
Rheumatology Physician
Primary
72802
MN
207RR0500X
Rheumatology Physician
D0065841
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
7782909
AETNA PPO
MD
05
785361100
MD
01
8288695
AETNA HMO
MD
Enumeration date
08/10/2006
Last updated
08/08/2023
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