Individual
AJAY RAWAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
640 JACKSON ST - MC 11103E, HEHEALTHPARTNERS REGIONS SPECIALTY CLINICS, ST. PAUL, MN 55101-2502
(651) 254-4796
(651) 254-2741
Mailing address
8170 33RD AVE S, MS21110Q, MINNEAPOLIS, MN 55425-4516
(952) 883-5375
(651) 254-2741
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
4301082780
MI
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
51629
MN
Other
Enumeration date
09/29/2006
Last updated
03/11/2021
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