Individual
DR. THENAPPAN THENAPPAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
909 FULTON ST SE, MINNEAPOLIS, MN 55455-4800
(612) 672-7422
Mailing address
1850 W ARLINGTON BLVD, GREENVILLE, NC 27834-5704
(252) 752-6101
(252) 752-6600
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
106863
MN
207R00000X
Internal Medicine Physician
200500494
NC
207RA0001X
Advanced Heart Failure and Transplant Cardiology Physician
57117
MN
207RC0000X
Cardiovascular Disease Physician
Primary
57117
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
139T4
BCBS NC
NC
05
—
5902350
—
NC
Enumeration date
12/16/2005
Last updated
06/17/2025
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