Individual
RAHEL NARDOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D. MCR
Contact information
Practice address
606 24TH AVE S STE 300, MINNEAPOLIS, MN 55454-1437
(612) 273-7111
Mailing address
720 WASHINGTON AVE SE, MINNEAPOLIS, MN 55414-2924
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
67298
MN
207VG0400X
Gynecology Physician
2007015345
MO
207VH0002X
Hospice and Palliative Medicine (Obstetrics & Gynecology) Physician
2003016145
MO
2088F0040X
Urogynecology and Reconstructive Pelvic Surgery (Urology) Physician
Primary
67298
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
67298
MEDICAL LICENCE
MN
Enumeration date
05/10/2007
Last updated
10/13/2022
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