Individual
DR. GLADWIN SUSEEKAR DAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.B., B.S.
Contact information
Practice address
UNIVERSITY OF MINNESOTA PHYSICIANS, 516 DELAWARE STREET SE, PWB THIRD FLOOR, CLINIC 3B, MINNEAPOLIS, MN 55455
(612) 625-3600
Mailing address
UNIVERSITY OF MINNESOTA PHYSICIANS, 420 DELAWARE STREET SE, MMC 508, MINNEAPOLIS, MN 55455
(612) 625-7924
(612) 626-4411
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
35192
MN
207RI0011X
Interventional Cardiology Physician
Primary
35192
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1009081
PREFERRED ONE
MN
01
—
108605
UCARE
MN
01
—
25-00294
MEDICA CHOICE
MN
01
—
25-74659
MEDICA PRIMARY
MN
01
—
598508
ARAZ
MN
05
—
865524300
—
MN
01
—
8T849DA
BCBS
MN
01
—
HP22035
HEALTHPARTNERS
MN
Enumeration date
06/27/2006
Last updated
03/17/2016
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