Individual
DR. ELYSE O KHARBANDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
8450 SEASONS PKWY - MAIL STOP 32900A, HEALTHPARTNERS WOODBURY CLINIC, WOODBURY, MN 55125-4402
(651) 702-5300
(651) 702-5305
Mailing address
8170 33RD AVE S, MS21110Q, MINNEAPOLIS, MN 55425-4516
(952) 883-5375
(651) 702-5305
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
105050
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
105050
MN MEDICAL LICENSE (TEMPORARY)
MN
Enumeration date
05/03/2006
Last updated
03/07/2023
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