DR. MRINALINI MUDKANNA (NPI# 1245331800) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245331800 |
| Entity Type | Individual |
| Full Name | DR. MRINALINI MUDKANNA |
| Credential | M.D. |
| Practice Address |
9055 Springbrook Dr Nw Coon Rapids MN 55433-5841 |
| Mailing Address |
2925 Chicago Ave Minneapolis MN 55407-1321 |
| Practice Telephone | 7637809155 |
| Mailing Telephone | 6122625000 |
| Enumeration Date | 2006-09-26 |
| Last Update Date | 2011-12-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | 49094 | MN | Allopathic & Osteopathic Physicians |
| Y | 207RG0300X |
Internal Medicine Specialization: Geriatric Medicine |
49094 | MN | Allopathic & Osteopathic Physicians |
| Street Address |
9055 SPRINGBROOK DR NW |
| City | COON RAPIDS |
| State | MN |
| Zip Code | 55433-5841 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306833454 | Julie M Jones | Internal Medicine | 9055 Springbrook Dr Nw, Coon Rapids, MN 55433-5841 | 2005-10-04 |
| 1235745126 | Allison Usset Gilles | Nurse Practitioner | 9055 Springbrook Dr Nw, Coon Rapids, MN 55433-5841 | 2020-09-16 |
| 1649886565 | Allina Health System | Clinic/Center | 9055 Springbrook Dr Nw, Coon Rapids, MN 55433-5841 | 2020-09-16 |
| 1851924302 | Jenna Michele Borgstrom | Physician Assistant | 9055 Springbrook Dr Nw, Coon Rapids, MN 55433-5841 | 2020-02-12 |
| 1346887585 | Andria Sammon | Nurse Practitioner | 9055 Springbrook Dr Nw, Coon Rapids, MN 55433-5841 | 2019-12-06 |
| 1679126080 | Kayla Wenner | Dietitian, Registered | 9055 Springbrook Dr Nw, Coon Rapids, MN 55433 | 2019-07-24 |
| 1710541586 | Meri Ellen Parady | Social Worker | 9055 Springbrook Dr Nw, Coon Rapids, MN 55433-5841 | 2019-04-27 |
| 1659835734 | Alisha Leigh Freeburg | Registered Nurse | 9055 Springbrook Dr Nw, Coon Rapids, MN 55433-5841 | 2019-01-23 |
| 1588146732 | Erika Janet Hachey | Nurse Practitioner | 9055 Springbrook Dr Nw, Coon Rapids, MN 55433-5841 | 2018-09-04 |
| 1083192702 | Hannah Mork | Audiologist | 9055 Springbrook Dr Nw, Coon Rapids, MN 55433-5841 | 2018-08-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770134793 | Shelley Karee Peterson | Technician | 10311 Bittersweet St Nw, Coon Rapids, MN 55433 | 2019-09-20 |
| 1578122057 | Courtney Gau | Behavior Technician | Fraser Coon Rapids, 9120 Springbrook Dr. Nw, Coon Rapids, MN 55433 | 2019-06-10 |
| 1992275606 | Maliki Fofee Kamara | Licensed Practical Nurse | 2451 109th Ave Nw Apt. 1, Coon Rapids, MN 55433 | 2018-11-26 |
| 1992284541 | Sarah Vennes | Massage Therapist | 6400 Flying Cloud Dr, Suite 240, Eden Prairie, MN 55433 | 2018-08-13 |
| 1538646609 | Paige Prince | Behavior Technician | Fraser Coon Rapids, 9120 Springbrook Drive Nw, Coon Rapids, MN 55433 | 2018-07-23 |
| 1154828242 | Karin Lea Englund | Dentist | 9145 Springbrook Dr Nw Ste 100, Coon Rapids, MN 55433 | 2018-04-06 |
| 1235642513 | Vista Family Eye Care LLC | Optometrist | 9920 Foley Blvd Nw Ste 120, Coon Rapids, MN 55433 | 2017-11-09 |
| 1538697818 | Mohammed Nmn Ahmed | Internal Medicine | 9055 Spring Brook Drive, Allina Coon Rapids Clinic 9055, Coon Rapids, MN 55433 | 2017-05-31 |
| 1639531353 | Journi LLC | Nurse Practitioner | 277 Coon Rapids Blvd Suite 308, Coon Rapids, MN 55433 | 2016-03-22 |
| 1821457722 | Honorine Boyce | Licensed Practical Nurse | 2743 111th Ave. Nw, Coon Rapids, MN 55433 | 2016-02-19 |
| Find all providers in zip 55433 | ||||
| Taxonomy Code | 207RG0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Geriatric Medicine |
| An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://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 |
|---|---|---|---|---|
| 1083268189 | Mission Creek Transitional Care Pllc | Internal Medicine | 520 Marshall St, Duluth, MN 55803-1981 | 2019-07-26 |
| 1275191736 | Howide Eldib | Internal Medicine | 4728 Lyndale Ave S Apt 1, Minneapolis, MN 55419-5304 | 2019-05-30 |
| 1689007940 | David Pautz | Internal Medicine | 6313 Westwood Ct, Edina, MN 55436-1149 | 2013-08-09 |
| 1033465505 | Manji Belinda Osifeso | Internal Medicine | 790 West 66th Street, Hcmc Richfield Clinic, Richfield, MN 55423 | 2012-08-01 |
| 1508147224 | Jane Carol Pederson | Internal Medicine | 9478 Wedgewood Dr, Woodbury, MN 55125-9304 | 2011-09-08 |
| 1336445899 | Diane Helen Scott | Internal Medicine | 2545 Hamline Ave N, Apt 211, Roseville, MN 55113 | 2011-02-01 |
| 1497981286 | House Call Specialists, Pllc | Internal Medicine | 115 Oregon Ave S, Golden Valley, MN 55426-1561 | 2009-06-07 |
| 1952582744 | Maged Labib | Internal Medicine | 1920 Mineral Springs Pkwy, Owatonna, MN 55060-2186 | 2007-11-20 |
| 1912118522 | Bernadette Kim Quadling | Internal Medicine | 1415 Lilac Dr N, Ste 190, Golden Valley, MN 55422-4544 | 2007-05-25 |
| 1912046988 | Margaret Rice, Md, Pa | Internal Medicine | 4901 Garfield Ave, Minneapolis, MN 55419-5403 | 2007-02-06 |
| Find all providers with the same taxonomy | ||||
| City | COON RAPIDS |
| Zip Code | 55433 |
Please comment or provide details below to improve the information on DR. MRINALINI MUDKANNA.
| 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.