MRUDULA JAKKULA (NPI# 1740237189) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1740237189 |
Entity Type | Individual |
Full Name | MRUDULA JAKKULA |
Credential | PHYSICIAN,M.B.,B.S. |
Practice Address |
2610 Central Ave Ne Minneapolis MN 55418-2911 |
Practice Telephone | 6127816816 |
Practice Fax Number | 6127813837 |
Mailing Telephone | 6127816816 |
Mailing Fax Number | 6127813837 |
Enumeration Date | 2006-05-30 |
Last Update Date | 2007-07-08 |
Gender Code | F |
Is Sole Proprietor | X |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207R00000X | Internal Medicine | 38533 | MN | Allopathic & Osteopathic Physicians |
Street Address |
2610 CENTRAL AVE NE |
City | MINNEAPOLIS |
State | MN |
Zip Code | 55418-2911 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1679554836 | Tamra L Johnston | Family Medicine | 2610 Central Ave Ne, Minneapolis, MN 55418-2911 | 2005-11-07 |
1740894526 | Kelsey Narlock | Pharmacist | 2610 Central Ave Ne, Minneapolis, MN 55418-2911 | 2020-08-31 |
1548873532 | Mohamed Sheikh Ahmed | Pharmacist | 2610 Central Ave Ne, Minneapolis, MN 55418-2911 | 2020-08-28 |
1063994085 | Derek Douglas Borkowski | Pharmacist | 2610 Central Ave Ne, Minneapolis, MN 55418-2911 | 2018-09-06 |
1568855054 | Carly Curry | Nurse Practitioner | 2610 Central Ave Ne, Minneapolis, MN 55418-2911 | 2015-03-09 |
1598199366 | Eric Andrew Smith | Physician Assistant | 2610 Central Ave Ne, Minneapolis, MN 55418-2911 | 2013-08-28 |
1851306161 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 2610 Central Ave Ne, Minneapolis, MN 55418-2911 | 2006-07-29 |
1275574436 | Allison Stolz | Family Medicine | 2610 Central Ave Ne, Minneapolis, MN 55418-2911 | 2006-06-09 |
1215990270 | Ronald James Jankowski | Family Medicine | 2610 Central Ave Ne, Minneapolis, MN 55418-2911 | 2006-04-10 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1295347854 | Shining Light Skill Building LLC | Psychologist | 3055 Old Highway 8 Ste 106b, St. Anthony, MN 55418 | 2020-08-17 |
1033744008 | Star Health Services | Clinic/Center | 3055 Old High 8, Saint Anthony, MN 55418 | 2020-03-10 |
1154974913 | Magnolia Home Healthcare LLC | Durable Medical Equipment & Medical Supplies | 951 Ne Lowry Ave #314, Minneapolis, MN 55418 | 2019-07-22 |
1255825345 | Senzilla Health Services, LLC | Clinic/Center | 3035 Old Highway 8, Suite 101f, St. Anthony, MN 55418 | 2018-06-21 |
1932642113 | Allyson Plumberg | Speech-Language Pathologist | 2568 Kenzie Terrace, Apt 211, St Anthony, MN 55418 | 2016-11-21 |
1053782961 | Exel Mobility Inc | Non-emergency Medical Transport (VAN) | 2302 Central Avenue, Minneapolis, MN 55418 | 2015-10-19 |
1447620893 | Bille Bus Transportation, Inc | Non-emergency Medical Transport (VAN) | 2500 Hwy 88, Suite 218, Minneapolis, MN 55418 | 2015-09-29 |
1508242108 | Caring Companions Home Health Care | Home Health | 3055 Old High Way 8 Suite 109, St Anthony, MN 55418 | 2015-08-05 |
1477934438 | Hybrid Behavioral Health | Community/Behavioral Health | 2221 Polk St Ne, Minneapolis, MN 55418 | 2015-06-16 |
1316343551 | Hennepin Healthcare Systems, Inc | Pharmacy | 2714 County Rd 88, Minneapolis, MN 55418 | 2014-11-17 |
Find all providers in zip 55418 |
Taxonomy Code | 207R00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
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 |
---|---|---|---|---|
1861032054 | David Gregg | Internal Medicine | 5305 Humboldt Ave S, Minneapolis, MN 55419 | 2020-01-15 |
1316454077 | Independent Medical Clinic Pa | Internal Medicine | 2639 Nicollet Ave Ste 120, Minneapolis, MN 55408-1629 | 2018-01-03 |
1669905618 | Joseph Douglas Steffens | Internal Medicine | 701 Park Avenue, Internal Medicine Residency Program, Hennepin County Medical Center, Minneapolis, MN 55415 | 2017-04-06 |
1841650306 | Megan Mcgovern | Internal Medicine | 701 Park Ave # O1.340, Minneapolis, MN 55415-1623 | 2016-02-26 |
1700266079 | Jacob Wagner | Internal Medicine | D638 Mayo Building, 420 Delaware St Se, Minneapolis, MN 55455 | 2015-06-02 |
1659750503 | Melissa Ann Plesac | Internal Medicine | 500 Harvard St Se # 741, Minneapolis, MN 55455 | 2015-05-26 |
1033503040 | Elizabeth Stanton Teter Aby | Internal Medicine | 406 Harvard St Se # Mmc36, Minneapolis, MN 55455-0362 | 2015-03-27 |
1780002592 | Annie M Jacobsen | Internal Medicine | 701 Park Avenue South--medicine, Hennepin County Medical Center, Minneapolis, MN 55415-1829 | 2014-03-31 |
1386066173 | Michael Usher | Internal Medicine | 420 Delaware Street, Se, Mmc 741, Division of General Internal Medicine, Minneapolis, MN 55455 | 2014-01-13 |
1356684609 | Anteneh Girma Zewde | Internal Medicine | 87 Orlin Ave Se, Minneapolis, MN 55414-3560 | 2013-04-04 |
Find all providers in MINNEAPOLIS |
City | MINNEAPOLIS |
Zip Code | 55418 |
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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.