Individual
SUBHASHINI MAHIPATHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
6845 LEE AVE N - MAIL STOP 31400A, HEALTHPARTNERS BROOKLYN CENTER CLINIC, BROOKLYN CENTER, MN 55429-1717
(763) 569-0300
(763) 569-0311
Mailing address
8170 33RD AVE S, MS21110Q, MINNEAPOLIS, MN 55425-4516
(952) 883-5375
(763) 569-0311
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
50428
MN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
18646
RESIDENT PERMIT
MN
Enumeration date
05/07/2008
Last updated
04/16/2018
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