Individual
NAVEEN KUMAR ANANTHA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3300 OAKDALE AVE N, ROBBINSDALE, MN 55422
(763) 520-5200
(763) 581-1555
Mailing address
2020 E 28TH ST, SMILEY'S CLINIC, MINNEAPOLIS, MN 55407
(612) 333-0770
(612) 333-1986
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
24052
MS
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/23/2012
Last updated
10/11/2020
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