Individual
TEIJA MADHUSOODANAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6600 FRANCE AVE S STE 162, EDINA, MN 55435-1802
(952) 920-2070
Mailing address
6600 FRANCE AVE S STE 162, EDINA, MN 55435-1802
(612) 730-8674
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
72189
MN
Other
Enumeration date
03/30/2017
Last updated
10/04/2022
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