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Individual

USHA R KALAVA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MBBS

Contact information

Practice address
200 1ST ST SW, ROCHESTER, MN 55905-0001
(507) 284-2511
Mailing address
200 1ST ST SW, ROCHESTER, MN 55905-0001
(507) 284-2511

Taxonomy

Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
104275
MN
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
52261
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
ENROLLED
IA
05
ENROLLED
MN
Enumeration date
07/14/2009
Last updated
09/22/2009
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