Individual
MALAVIKA SURESH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3120 HENNEPIN AVE UNIT 202, MINNEAPOLIS, MN 55408-2771
(763) 482-0381
Mailing address
3120 HENNEPIN AVE UNIT 202, MINNEAPOLIS, MN 55408-2771
(763) 482-0381
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
125.082650
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
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Other
Enumeration date
03/29/2023
Last updated
10/17/2023
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