Individual
POOJA MUNDRATI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
2090 WOODWINDS DR, WOODBURY, MN 55125-2522
(651) 968-5200
(651) 968-5904
Mailing address
710 COMMERCE DR, SUITE 200, WOODBURY, MN 55125-4919
(651) 968-5520
(651) 968-5904
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
036.138799
IL
208100000X
Physical Medicine & Rehabilitation Physician
Primary
61722
MN
Other
Enumeration date
04/14/2010
Last updated
04/09/2017
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