Foram Ashwin Mankodi MBBS

NPI 1073833810 - Pediatrics - 208000000X

NPI Details
NPI 1073833810
Gender Female
Enumeration Date 06/03/2010
Last Updated 06/03/2010
Entity Type Individual
Active Over 6 years ago
Practice Location
404 W FOUNTAIN ST
ALBERT LEA MN, 56007-2437, US
Phone (507) 373-2384
Fax
Business Location
404 W FOUNTAIN ST
ALBERT LEA MN, 56007-2437, US
Phone (507) 373-2384
Fax
Toxanomy
Taxonomy Code 208000000X
License State Minnesota
License Number 52828
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According to our database, Foram Ashwin Mankodi MBBS NPI is 1073833810, taxonomy code is 208000000X and license number is 52828, license state is located at Minnesota. Foram Ashwin Mankodi MBBS physically located at 404 W Fountain St, Albert Lea MN, 56007-2437. NPI Number Foram Ashwin Mankodi MBBS has the Individual type.

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1073833810 NPI number is provided on an as is basis without warranty of any kind. 1073833810 is maintained by the National Plan & Provider Enumeration System. The contents of Foram Ashwin Mankodi MBBS are for informational purposes only.