Individual
CLIFFORD E KASHTAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
516 DELAWARE ST SE, PWB FOURTH FLOOR, ROOM 4-100, MINNEAPOLIS, MN 55455
(612) 626-6777
Mailing address
420 DELAWARE ST SE, UNIVERSITY OF MINNESOTA PHYSICIANS MMC 491, MINNEAPOLIS, MN 55455
(612) 626-6777
Taxonomy
Speciality
Code
Description
License number
State
2080P0210X
Pediatric Nephrology Physician
Primary
28733
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0012699
—
MT
05
—
0506212
—
IA
01
—
052035
FAIRVIEW CARE GIVER ID
MN
01
—
1009162
PREFERRED ONE
MN
01
—
101069
U CARE
MN
01
—
109962
PATIENT CHOICE
MN
05
—
2105760
—
OH
01
—
2T289KA
BLUE CROSS BLUE SHIELD
MN
05
—
30852900
—
WI
01
—
31-24906
MEDICA-CHOICE
MN
01
—
31-74533
MEDICA-PRIMARY
MN
01
—
370010935
RAIL ROAD MEDICARE
MN
05
—
629885100
—
MN
01
—
768184
AMERICA'S PPO
MN
01
—
HP13656
HEALTH PARTNERS
MN
Enumeration date
10/10/2006
Last updated
07/09/2007
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