Individual
SUSHMA RAJDEEP PRADHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
303 CATLIN ST, BUFFALO, MN 55313-1947
(763) 682-5225
Mailing address
2925 CHICAGO AVE, MINNEAPOLIS, MN 55407-1321
(612) 262-5000
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
60313
MN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
11/01/2006
Last updated
11/10/2020
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