Sujatha Tata MD

NPI 1467615690 - Internal Medicine - 207R00000X

NPI Details
NPI 1467615690
Gender Female
Enumeration Date 07/08/2008
Last Updated 01/28/2014
Entity Type Individual
Active Over 8 years ago
Practice Location
6401 FRANCE AVE S
EDINA MN, 55435-2104, US
Phone (612) 626-3000
Fax
Business Location
6401 FRANCE AVE S
EDINA MN, 55435-2104, US
Phone (612) 626-3000
Fax
Toxanomy
Taxonomy Code 207R00000X
License State Minnesota
License Number 51807
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According to our database, Sujatha Tata MD NPI is 1467615690, taxonomy code is 207R00000X and license number is 51807, license state is located at Minnesota. Sujatha Tata MD physically located at 6401 France Ave S, Edina MN, 55435-2104. NPI Number Sujatha Tata MD has the Individual type.

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1467615690 NPI number is provided on an as is basis without warranty of any kind. 1467615690 is maintained by the National Plan & Provider Enumeration System. The contents of Sujatha Tata MD are for informational purposes only.