Individual
SANDEEP BAHADUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
237 RADIO DR STE 210, WOODBURY, MN 55125-4478
(612) 871-1145
(612) 870-5491
Mailing address
PO BOX 14909, MINNEAPOLIS, MN 55414-0909
(612) 871-1145
(612) 870-5491
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
47308
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
919685400
—
MN
Enumeration date
03/01/2006
Last updated
08/15/2019
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