Individual
DR. VINAYA SUSAN VINODU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2925 CHICAGO AVE, MINNEAPOLIS, MN 55407
(612) 262-5000
Mailing address
2925 CHICAGO AVE, MINNEAPOLIS, MN 55407-1321
(612) 262-5000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
50761
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
50761
WI STATE MEDICAL LICENSE
WI
01
—
63748
MN STATE MEDICAL LICENSE
MN
Enumeration date
07/02/2007
Last updated
04/02/2021
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