Individual
SHIVANI RAWAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MBBS,MD
Contact information
Practice address
1885 PLAZA DR, EAGAN, MN 55122-2979
(952) 993-4001
(952) 993-4095
Mailing address
8170 33RD AVE S # MS 21110Q, BLOOMINGTON, MN 55425-4516
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
49219
MN
Other
Enumeration date
03/09/2007
Last updated
11/11/2021
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