Individual
PRAVEENA M KANTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
6545 FRANCE AVE S, SUITE 150, EDINA, MN 55435-2131
(952) 848-5600
(952) 848-5573
Mailing address
6545 FRANCE AVE S, SUITE 150, EDINA, MN 55435-2131
(952) 848-5600
(952) 848-5573
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
36578
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
337025900
—
MN
Enumeration date
06/22/2005
Last updated
03/22/2012
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