Individual
JYOTHSNA R RAYADURG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MBBS
Contact information
Practice address
2855 CAMPUS DR, SUITE 400, PLYMOUTH, MN 55441-2659
(612) 577-7400
Mailing address
2925 CHICAGO AVENUE, MINNEAPOLIS, MN 55407-1321
(612) 262-5000
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
38647
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
590224000
—
MN
Enumeration date
03/29/2006
Last updated
06/09/2021
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