Individual
SUPRIYA VARADARAJULU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3800 PARK NICOLLET BLVD, MINNEAPOLIS, MN 55416-2527
(952) 993-3090
Mailing address
3800 PARK NICOLLET BLVD, MINNEAPOLIS, MN 55416-2527
(952) 993-3090
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
41348
MN
Other
Enumeration date
12/19/2005
Last updated
10/06/2011
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