1326007659 NPI number — SUCHITRA RONDLA MBBS

Table of content: SUCHITRA RONDLA MBBS (NPI 1326007659)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1326007659 NPI number — SUCHITRA RONDLA MBBS

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
RONDLA
Provider First Name:
SUCHITRA
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
MBBS
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1326007659
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
09/24/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
3585 LEXINGTON AVENUE NORTH
Provider Second Line Business Mailing Address:
SUITE 350
Provider Business Mailing Address City Name:
SHOREVIEW
Provider Business Mailing Address State Name:
MN
Provider Business Mailing Address Postal Code:
55126-8056
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
651-251-5280
Provider Business Mailing Address Fax Number:
651-251-5282

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
3585 LEXINGTON AVENUE NORTH
Provider Second Line Business Practice Location Address:
SUITE 350
Provider Business Practice Location Address City Name:
SHOREVIEW
Provider Business Practice Location Address State Name:
MN
Provider Business Practice Location Address Postal Code:
55126-8056
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
651-494-3942
Provider Business Practice Location Address Fax Number:
651-787-0519
Provider Enumeration Date:
03/23/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 208000000X , with the licence number:  48207 , registered in the state of MN ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 395421800 , issued by the state of ( MN ) . This identifiers is of the category "MEDICAID".




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