Individual
DR. RADHA KRISHNA KUMAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
9358 ENSIGN AVE S STE C, BLOOMINGTON, MN 55438-1474
(952) 942-6789
Mailing address
9358 ENSIGN AVE S STE C, BLOOMINGTON, MN 55438-1474
(952) 942-6789
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
45018
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0119338
MEDICA
MN
01
—
132376
UCARE
MN
01
—
2316543
AMERICAS PPO
MN
01
—
41084933956001A037
CHAMPUS
—
05
—
597455100
—
MN
01
—
638R2JU
BCBS
MN
01
—
HP37141
HEALTH PARTNERS
MN
01
—
NA2951033182
PREFERRED ONE
MN
01
—
P00195105
RR MEDICARE
—
Enumeration date
01/09/2006
Last updated
12/14/2011
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