Individual
SUSHANT NANGRANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
15350 ENGLISH AVE, APPLE VALLEY, MN 55124
(952) 431-8500
Mailing address
8170 33RD AVE S, MS 21110Q, BLOOMINGTON, MN 55425-4516
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
39814
IA
207Q00000X
Family Medicine Physician
Primary
55725
MN
Other
Enumeration date
06/08/2009
Last updated
10/09/2024
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