Individual
KALPANA MUTHUSAMY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
200 1ST ST SW, ROCHESTER, MN 55905-6756
(507) 284-2511
Mailing address
200 1ST ST SW, ROCHESTER, MN 55905-6756
(507) 284-2511
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
51212
MN
208M00000X
Hospitalist Physician
002892-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02903491
—
NY
05
—
ENROLLED
—
MN
01
—
P00629412
MEDICARE RAILROAD
MN
Enumeration date
06/15/2007
Last updated
09/12/2022
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