Individual
RAJA KANDASWAMY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
516 DELAWARE STREET SE, PWB SECOND FLOOR, CLINIC 2A, UMP TRANSPLANT & MEDICINE SPECIALTIES, MINNEAPOLIS, MN 55455-0356
(612) 884-0649
Mailing address
720 WASHINGTON AVE SE, UNIVERSITY OF MINNESOTA PHYSICIANS, MINNEAPOLIS, MN 55414
(612) 884-0649
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
40288
MN
208600000X
Surgery Physician
Primary
ME109323
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003387700
—
FL
05
—
0542290
—
IA
01
—
1018634
PREFERRED ONE
MN
01
—
114108
FAIRVIEW
MN
01
—
122137
U CARE
MN
01
—
17-00026
MEDICA-PRIMARY
MN
01
—
1707564
MEDICA-CHOICE
MN
05
—
32401700
—
WI
05
—
806818600
—
MN
01
—
914563
ARAZ
—
01
—
9G695KA
BCBS
MN
01
—
HP28837
HEALTH PARTNERS
MN
Enumeration date
09/28/2006
Last updated
10/31/2012
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