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Individual

DR. KIRAN DWARAKANATH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1200 S COLUMBIA RD - ALTRU HOSPITAL, GRAND FORKS, ND 58201
(701) 780-6000
Mailing address
2401 DEMERS AVE, GRAND FORKS, ND 58201
(701) 780-1891

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
11824
ND
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
64720
MN

Other

Enumeration date
05/11/2007
Last updated
03/01/2019
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