Individual
RAJINI KATIPAMULA MALISETTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MBBS
Contact information
Practice address
11850 BLACKFOOT NW, SUITE 100, COON RAPIDS, MN 55433-2569
(763) 721-2100
(763) 721-2190
Mailing address
11850 BLACKFOOT NW, SUITE 100, COON RAPIDS, MN 55433-2569
(763) 721-2100
(763) 721-2190
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
47014
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
115113400
—
MN
Enumeration date
02/14/2006
Last updated
12/20/2013
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