Individual
TEJA UMESH DYAMENAHALLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
400 E 3RD ST, DULUTH, MN 55805-1951
(218) 786-8364
Mailing address
400 EAST THIRD STREET, MCL2CRED, DULUTH, MN 55805-1951
(218) 786-3146
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
58329
MN
208M00000X
Hospitalist Physician
Primary
58329
MN
Other
Enumeration date
03/23/2011
Last updated
01/03/2019
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