Individual
SHIVAN KULASINGHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1027 WASHINGTON AVE, DETROIT LAKES, MN 56501-3409
(218) 847-5611
(218) 847-0881
Mailing address
1027 WASHINGTON AVE, DETROIT LAKES, MN 56501-3409
(218) 847-5611
(218) 847-0881
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
43532
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0403132
MEDICA #
MN
05
—
11620
—
MN
01
—
142026
UCARE #
MN
01
—
1517801
AMERICA'S PPO/ARAZ #
MN
01
—
20796
NDBS #
MN
01
—
43G20KU
MNBS #
MN
05
—
619745100
—
MN
01
—
DA9031026977
PREFERRED ONE #
MN
01
—
HP38423
HEALTHPARTNERS #
MN
01
—
MN10224701
LHS/BANNERHEALTH #
MN
Enumeration date
05/27/2006
Last updated
06/04/2012
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