Individual
MR. SHANTARAM KAMATH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1665 WHITE BEAR AVE N, SAINT PAUL, MN 55106-1611
(651) 251-1933
Mailing address
11357 IVYWOOD TRL, WOODBURY, MN 55129-7758
(651) 436-7130
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
118810
MN
Other
Enumeration date
10/24/2011
Last updated
10/24/2011
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