Individual
ALEXANDER KHORUTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2635 UNIVERSITY AVE W STE 100, SAINT PAUL, MN 55114-1231
(612) 871-1145
(612) 870-5491
Mailing address
2635 UNIVERSITY AVE W STE 100, SAINT PAUL, MN 55114-1231
(612) 871-1145
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
35139
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
059063000
—
MN
05
—
0982835
—
IA
01
—
1019331
PREFERRED ONE
MN
01
—
114409
U CARE
MN
01
—
12G03KH
BCBS
MN
01
—
29-00011
MEDICA-PRIMARY
MN
01
—
2911498
MEDICA-CHOICE
MN
01
—
768196
ARAZ
—
01
—
HP13689
HEALTH PARTNERS
MN
Enumeration date
10/11/2006
Last updated
12/06/2017
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