DR. KOZHUVATTASSERI PADMANABHA MADHUSOODANAN (NPI# 1164505624) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164505624 |
| Entity Type | Individual |
| Full Name | DR. KOZHUVATTASSERI PADMANABHA MADHUSOODANAN |
| Credential | MD |
| Practice Address |
516 Delaware Street Se Clinic 3b University of Minnesota Physicians Minneapolis MN 55455 |
| Mailing Address |
420 Delaware St Se Mmc 508 University of Minnesota Physicians Minneapolis MN 55455 |
| Practice Telephone | 6126253600 |
| Mailing Telephone | 6126253600 |
| Enumeration Date | 2006-10-20 |
| Last Update Date | 2013-02-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
42532 | MN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | 0534461 | 05 | |
| PREFERREDONE | 1024914 | 01 | |
| MN | 128412600 | 05 | |
| SD | 7777470 | 05 | |
| HEALTHPARTNERS | HP31284 | 01 | |
| ARAZ | 1053385 | 01 | |
| MEDICA PRIMARY | 25-00021 | 01 | |
| ND | 10387 | 05 | |
| MN | BLUE CROSS BLUE SHIELD | 78R23MA | 01 |
| UCARE | 127916 | 01 | |
| MEDICA CHOICE | 25-00413 | 01 | |
| WI | 34017700 | 05 | |
| TRIWEST/TRICARE | M011 | 01 |
| Street Address |
516 DELAWARE STREET SE CLINIC 3B UNIVERSITY OF MINNESOTA PHYSICIANS |
| City | MINNEAPOLIS |
| State | MN |
| Zip Code | 55455 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932715679 | Kara Biscobing | Nurse Anesthetist, Certified Registered | M Health Fairview Ummc East Bank 3-307, 500 Harvard Street, Minneapolis, MN 55455 | 2020-09-18 |
| 1982213237 | Yue Hu | Dentist | 515 Delaware St. Se Malcolm Moos Health Sciences Tower, Room 7-174, Minneapolis, MN 55455 | 2020-07-23 |
| 1952922148 | Jacob Laurence Tigner | Student in an Organized Health Care Education/Training Program | 420 Delaware Street Se, Mmc 284, Minneapolis, MN 55455 | 2020-04-29 |
| 1710507538 | Rachael Grundman | Student in an Organized Health Care Education/Training Program | 420 Delaware St, Mmc 395, Minneapolis, MN 55455 | 2020-04-22 |
| 1497375240 | Sanjay Dhawan | Student in an Organized Health Care Education/Training Program | 420 Delaware St. Se, Mmc 195, Minneapolis, MN 55455 | 2020-04-22 |
| 1508486549 | Dariel Andres Diaz | Student in an Organized Health Care Education/Training Program | 420 Se Delaware Street, Mmc 195, Minneapolis, MN 55455 | 2020-04-20 |
| 1275186280 | Kerem Ozturk | Radiology | B-226 Mayo Memorial Building, Mmc 292 420 Delaware Street S.e., Minneapolis, MN 55455 | 2019-07-18 |
| 1275194631 | Andres Jose Gonzalez Coba | Student in an Organized Health Care Education/Training Program | 420 Delaware Street Se Mmc 284, Minneapolis, MN 55455 | 2019-06-26 |
| 1841850278 | Brendan Andrew Schleyer | Dentist | 515 Delaware St Se, Div of Periodontology, Moos Tower, 7-368, Minneapolis, MN 55455 | 2019-06-18 |
| 1932767399 | Claire-audrey Y Bayan | Student in an Organized Health Care Education/Training Program | 420 Delaware Street, Mmc 98, Minneapolis, MN 55455 | 2019-05-31 |
| Find all providers in zip 55455 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316364797 | Sumit I Patel | Internal Medicine | 420 Delaware Street Se, Mmc 508, Minneapolis, MN 55455 | 2014-03-24 |
| 1861692519 | Rebecca Jane Cogswell | Internal Medicine | 909 Fulton St Se Fl 3, Minneapolis, MN 55455-4800 | 2007-07-20 |
| 1629107511 | Stephen N Oesterle | Internal Medicine | Medtronic Inc., Ms Lc 400, 710 Medtronic Pkwy., Ne, Minneapolis, MN 55432 | 2007-03-05 |
| 1023158136 | Paul A Sobotka | Internal Medicine | 701 Park Ave # 05, Minneapolis, MN 55415-1623 | 2007-02-07 |
| 1588729297 | Charles Richard Jorgensen | Internal Medicine | 1615 E River Pkwy, Minneapolis, MN 55414-3627 | 2006-12-22 |
| 1730265760 | Emil D Missov | Internal Medicine | 516 Delaware Street Se, Clinic 3b, University of Minnesota Physicians, Minneapolis, MN 55455 | 2006-10-31 |
| 1467542613 | Y S Chandrashekhar | Internal Medicine | Division of Cardiology 111c, 1, Veterans Drive, Minneapolis, MN 55417 | 2006-10-16 |
| 1669573598 | Venkatakrishna Narasimhamurthy Tholakanahalli | Internal Medicine | 111c, One Veterans Dr., Minneapolis, MN 55417-2309 | 2006-09-25 |
| 1871514513 | Inderjit Singh Anand | Internal Medicine | 1 Veterans Dr # 111c, Minneapolis, MN 55417-2309 | 2006-07-21 |
| 1093770810 | Daniel Joseph Garry | Internal Medicine | 312 Church St Se, Cardiology, Mmc 508, Minneapolis, MN 55455-0215 | 2006-04-18 |
| Find all providers in MINNEAPOLIS | ||||
| City | MINNEAPOLIS |
| Zip Code | 55455 |
Please comment or provide details below to improve the information on DR. KOZHUVATTASSERI PADMANABHA MADHUSOODANAN.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.