Individual
DR. JANICE P. HASSUMANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
6341 UNIVERSITY AVE NE, FRIDLEY, MN 55432-4946
(763) 572-5710
(763) 586-5888
Mailing address
6401 UNIVERSITY AVE NE, FRIDLEY, MN 55432-4341
(763) 572-5710
(763) 571-3008
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
26244
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0108790
MEDICA
MN
01
—
08F33HA
BCBS OF MN
MN
01
—
1000860
PREFERRED ONE
MN
01
—
107293
UCARE MN
MN
01
—
20846
AMERICA'S PPO
MN
01
—
4044520
AETNA
MN
01
—
6603869
MEDICA UC
MN
01
—
HP19861
HEALTHPARTNERS
MN
Enumeration date
04/06/2006
Last updated
07/08/2007
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