Individual
DR. MANSI JAYESH KANUGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D,
Contact information
Practice address
701 HEWITT BLVD, RED WING, MN 55066-2848
(651) 267-5000
(651) 267-5910
Mailing address
701 HEWITT BLVD, RED WING, MN 55066-2848
(651) 267-5000
(651) 267-5910
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
25MA08452300
NJ
207K00000X
Allergy & Immunology Physician
Primary
54148
MN
207R00000X
Internal Medicine Physician
MD13231
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1588814016
—
MN
01
—
298399
US FAMILY
RI
01
—
36799
NEIGHBORHOOD HEALTH
RI
01
—
756565
TUFTS
RI
01
—
AA175128
HARVARD PILGRIM
RI
01
—
GROUP NPI 1538161161
RI BS
RI
05
—
MK79545
—
RI
01
—
NPI 1588814016
RI BS
RI
Enumeration date
09/20/2008
Last updated
09/30/2020
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