Individual
SEEMA MADDALI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1850 BEAM AVE, MAPLEWOOD, MN 55109-1162
(651) 779-2500
(654) 770-8834
Mailing address
PO BOX 43, MINNEAPOLIS, MN 55440-0043
(612) 262-1166
(612) 262-4258
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
47233
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
363628300
—
MN
Enumeration date
06/22/2006
Last updated
01/07/2025
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