Individual
CHARANYA NALLIGOUNDANUR PASUPATHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
10000 ZANE AVE N, BROOKLYN PARK, MN 55443-1400
(763) 528-6999
Mailing address
10000 ZANE AVE N, BROOKLYN PARK, MN 55443-1400
(763) 528-6999
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
71799
MN
207Q00000X
Family Medicine Physician
R-11433
IA
Other
Enumeration date
04/15/2019
Last updated
07/20/2022
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