Individual
KAIKHUSHROO B RADMANESH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
14655 GALAXIE AVE, APPLE VALLEY, MN 55124-8602
(651) 241-3779
Mailing address
2925 CHICAGO AVE, MINNEAPOLIS, MN 55407-1321
(612) 262-9000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
43771
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
804617400
—
MN
Enumeration date
07/08/2006
Last updated
04/30/2024
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