Individual
REWATI TEEPARTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
8170 33RD AVE S, MC21110Q, BLOOMINGTON, MN 55425-4516
(651) 254-9594
(763) 287-5019
Mailing address
8170 33RD AVE S, MC21110Q, BLOOMINGTON, MN 55425-4516
(651) 254-9594
(763) 287-5019
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
43355
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
804512300
—
MN
Enumeration date
02/28/2006
Last updated
09/10/2008
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